NPIMap

Individual provider Active NPI

Efren B Leonida, M.D.

  • Family Medicine Physician
  • Mt Pleasant, PA
National Provider Identifier
1891892188
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD420007 Issued in PA
Practice address
One Braddock Road Ave
Suite a
Mt Pleasant, PA 15666
Phone
(724) 547-4566
Fax
(724) 547-5811
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD420007 PA Primary

Addresses

Primary practice location

One Braddock Road Ave
Suite a
Mt Pleasant, PA 15666

Mailing address

One Braddock Road Ave
Suite a
Mt Pleasant, PA 15666
Phone (724) 547-4566

Other identifiers 3

IdentifierTypeStateIssuer
1010347300001MedicaidPA
LE1639333OtherPAHIGHMARK BLUE SHIELD
001639333OtherPAKEYSTONE HEALTH PLAN WEST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209000377 PA Practitioner - Family Practice 3870559982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Efren Leonida MD LLCGroup PAC ID 1153582523, 2 clinicians

Practice addresses (Care Compare)

1 Braddock Rd Ave
Suite a
Mt Pleasant, PA 15666-1458
Phone (724) 547-4565

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD420007PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Efren Leonida MD LLC Family Medicine CurrentSince Mar 20, 2012 Accepting new patients

Locations

1 Braddock Road Ave
Ste A
Mt Pleasant, PA 15666
Phone (724) 547-4565

Interoperability endpoints

  • Direct secure messaging: efrenbleonida@leonidafamilypractice.ssdirect.aprima.com

Organizations & group practices 1

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

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891892188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BRADDOCK ROAD AVE",
            "address_2": "SUITE A",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "15666",
            "telephone_number": "724-547-4566",
            "fax_number": "724-547-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BRADDOCK ROAD AVE",
            "address_2": "SUITE A",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "15666",
            "telephone_number": "724-547-4566",
            "fax_number": "724-547-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONIDA",
        "first_name": "EFREN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD420007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010347300001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "LE1639333",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN WEST",
            "identifier": "001639333",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

Verify at the official NPI Registry.