Individual provider Active NPI

John Michael Leary, M.D.

  • Specialist
  • Newport Beach, CA
National Provider Identifier
1891889606
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A36215 Issued in CA
Practice address
180 Newport Center Dr Ste 120
Newport Beach, CA 92660-6996
Phone
(949) 515-9377
Fax
(949) 515-9378
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A36215 CA Primary

Addresses

Primary practice location

180 Newport Center Dr Ste 120
Newport Beach, CA 92660-6996

Mailing address

180 Newport Center Dr Ste 120
Newport Beach, CA 92660-6996
Phone (949) 515-9377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202001222 CA Practitioner - General PracticePractitioner - Emergency Medicine 3870496359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Michael Leary MD IncGroup PAC ID 9638239825, 2 clinicians

Practice addresses (Care Compare)

180 Newport Ctr Dr
Suite 120
Newport Beach, CA 92660-6996
Phone (949) 515-9377

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A36215CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
J. Michael Leary, M.D., Inc Specialist CurrentSince Aug 1, 2008 Accepting new patients
Leary and Jesser, Inc. Specialist Past Accepting new patients
Leary and Jesser, Inc. Specialist Past Accepting new patients

Locations

400 Westminster Ave
Newport Beach, CA 92663
Phone (949) 515-9377

180 Newport Center Dr
Ste 120
Newport Beach, CA 92660
Phone (949) 515-9377

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1891889606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NEWPORT CENTER DR STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606996",
            "telephone_number": "949-515-9377",
            "fax_number": "949-515-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NEWPORT CENTER DR STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606996",
            "telephone_number": "949-515-9377",
            "fax_number": "949-515-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARY",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A36215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.