Active NPI
Leah M Siegfried, PA-C
- Physician Assistant
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 089704
- Practice address
- 1200 University Ave Ste 120
Des Moines, IA 50314-2355 - Phone
- (515) 248-1500
- Fax
- (515) 248-1510
- NPI assigned
- Jun 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0110002709 | VA | |
| Physician Assistant | 363A00000X | 0110002709 | VA | |
| Physician Assistant | 363A00000X | 089704 | IA | Primary |
Addresses
Primary practice location
1200 University Ave Ste 120
Des Moines, IA 50314-2355
Mailing address
1200 University Ave Ste 200
Des Moines, IA 50314-2355
Phone (515) 248-1447
Other names 1
- Leah Marie Pollastrini
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 University Ave
Des Moines, IA 50314-2343
1200 University Ave
Des Moines, IA 50314-2355
Phone (515) 248-1500
2353 SE 14TH St
Des Moines, IA 50320-1109
Phone (515) 248-1400
Hospital & facility affiliations
- Mercyone Des Moines Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110002709 | VA | MD | Family Medicine Physician |
| 089704 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Health Care, Inc. | Current | Accepting new patients | |
| Primary Health Care, Inc. | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Family Medicine | Current | Accepting new patients |
Locations
1200 University Ave
Ste 200
Des Moines, IA 50314
Phone (515) 248-1447
1200 University Ave
Ste 120
Des Moines, IA 50314
Phone (515) 248-1500
2353 SE 14th St
Des Moines, IA 50320
Phone (515) 248-1400
20905 Professional Plz
Ste 330
Ashburn, VA 20147
Phone (703) 726-0003
8644 Sudley Rd
#220
Manassas, VA 20110
Interoperability endpoints
- lsiegfried638703@direct.ochin.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Des Moines, IA
- NPI 1588692487
-
- Federally Qualified Health Center (FQHC)
- Des Moines, IA
- NPI 1174139158
-
- Federally Qualified Health Center (FQHC)
- Des Moines, IA
- NPI 1497522262
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1891955423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 UNIVERSITY AVE STE 200",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142355",
"telephone_number": "515-248-1447",
"fax_number": "515-248-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 UNIVERSITY AVE STE 120",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142355",
"telephone_number": "515-248-1500",
"fax_number": "515-248-1510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGFRIED",
"first_name": "LEAH",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0110002709",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110002709",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "089704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEAH",
"last_name": "POLLASTRINI",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.