Individual provider Active NPI

Gilbert A Leidig Jr., M.D.

  • Cardiovascular Disease Physician
  • Newark, DE
National Provider Identifier
1902835770
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C10004837 Issued in DE
Practice address
1 Centurian Dr
Suite 200
Newark, DE 19713-2137
Phone
(302) 366-8600
Fax
(392) 366-5646
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C10004837 DE Primary

Addresses

Primary practice location

1 Centurian Dr
Suite 200
Newark, DE 19713-2137

Mailing address

1 Centurian Dr
Suite 200
Newark, DE 19713-2137
Phone (302) 366-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20051108000879 DE Practitioner - Cardiovascular Disease (Cardiology) 9638197627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Perelman School of Med at the University of Pennsylvania, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Physicians, LLCGroup PAC ID 3476441841, 46 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

1 Centurian Dr
Suite 200
Newark, DE 19713-2150
Phone (302) 366-8600

1050 Industrial Dr
Middletown, DE 19709-2801
Phone (302) 366-8600

35141 Atlantic Ave
Unit 3
Millville, DE 19967-6954
Phone (302) 366-5646

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000

501 W 14TH St
Wilmington, DE 19801-1013

501 W 14TH St FL
6 CCHS Infectious Disease
Wilmington, DE 19801-1013
Phone (302) 320-1300

501 W 14TH St Wilmington Hospital
Wilmington, DE 19801-1013

910 Foulk Rd
Wilmington, DE 19803-3158
Phone (302) 366-8600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting18
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 1, 1998 Accepting new patients
Christiana Care Health Services, Inc Cardiovascular Disease CurrentSince Dec 17, 2013 Accepting new patients
Christiana Care Health Services, Inc Cardiovascular Disease CurrentSince Jan 1, 1998 Accepting new patients
Cardiology Physicians, LLC Cardiovascular Disease CurrentSince Oct 4, 1996 Accepting new patients
Delaware Diagnostic Services, Inc. PastSince May 1, 2004 Accepting new patients
Regional Medical Group LLC Cardiovascular Disease PastSince Mar 1, 2013 Accepting new patients

Locations

1 Centurian Dr
Ste 200
Newark, DE 19713
Phone (302) 366-5658

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

Interoperability endpoints

  • Direct secure messaging: gilbertleidig@cppa.allscriptsdirect.net
  • Direct secure messaging: gilbert.leidig.p3@direct.chv.nextgenshare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1902835770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR",
            "address_2": "SUITE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132137",
            "telephone_number": "302-366-8600",
            "fax_number": "392-366-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR",
            "address_2": "SUITE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132137",
            "telephone_number": "302-366-8600",
            "fax_number": "392-366-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIDIG",
        "first_name": "GILBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C10004837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.