Active NPI
Richard Royal Leitzen, DPM
- Foot & Ankle Surgery Podiatrist
- Wheaton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016.005466
- Practice address
- 705 Warrenville Rd
Suite B
Wheaton, IL 60189-6379 - Phone
- (630) 668-8277
- Fax
- (630) 668-3358
- NPI assigned
- Nov 19, 2008
- Last updated
- Jun 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016.005466 | IL | Primary |
Addresses
Primary practice location
705 Warrenville Rd
Suite B
Wheaton, IL 60189-6379
Mailing address
527 Irvington CT
Bartlett, IL 60103-4653
Phone (203) 843-7167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12757 S Tamiami TRL
North Port Foot and Ankle
North Port, FL 34287-1934
Phone (941) 426-1167
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 214 |
| Removal of skin lesions | 20 |
| Removal of nail tissue | 1727 |
| Removal or shaving of skin growth | 1063 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.005466 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott P Kurecki DPM PA | Current | Accepting new patients |
Locations
12757 Tamiami Trl S
North Port, FL 34287
Phone (941) 426-1167
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Podiatric Clinic/Center
- North Port, FL
- NPI 1851578918
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sarasota, FL
- NPI 1245845312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1902051840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 IRVINGTON CT",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601034653",
"telephone_number": "203-843-7167",
"fax_number": "630-668-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 WARRENVILLE RD",
"address_2": "SUITE B",
"city": "WHEATON",
"state": "IL",
"postal_code": "601896379",
"telephone_number": "630-668-8277",
"fax_number": "630-668-3358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITZEN",
"first_name": "RICHARD",
"middle_name": "ROYAL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-19",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016.005466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.