Individual provider Active NPI

Heather Leisy, MD, MBA, MPH

  • Public Health & General Preventive Medicine Physician
  • Sacramento, CA
National Provider Identifier
1942590518
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
193607 Issued in CA
Practice address
4301 X St
Sacramento, CA 95817-2214
Phone
(800) 282-3284
NPI assigned
Apr 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X MD52531 SC
Public Health & General Preventive Medicine Physician 2083P0901X 193607 CA Primary

Addresses

Primary practice location

4301 X St
Sacramento, CA 95817-2214

Mailing address

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

Other practice location 1

360 N Irby St
Florence, SC 29501
Phone (843) 667-9414

Other names 1

  • Dr. Heather Leisy Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190723002387 SC Practitioner - Preventive Medicine 4688900087 Reassigns benefits to 1 organization
I20250509003375 CA Practitioner - Internal Medicine 4688900087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3201 Data Dr
Rancho Cordova, CA 95670-7374
Phone (916) 851-1424

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
193607CAMDPublic Health & General Preventive Medicine Physician
MD52531SCMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Inc CurrentSince Jun 10, 2019 Accepting new patients
Regents of the University of California CurrentSince Feb 28, 2025 Accepting new patients
Hopehealth Inc CurrentSince Jun 10, 2019 Accepting new patients
Regents of the University of California CurrentSince Feb 28, 2025 Accepting new patients

Locations

10850 White Rock Rd
Rancho Cordova, CA 95670

3201 Data Dr
Rncho Cordova, CA 95670
Phone (916) 851-1424

600 E Palmetto St
Florence, SC 29506
Phone (843) 656-0390

360 N Irby St
Florence, SC 29501
Phone (843) 656-0353

520 Thurgood Marshall Hwy
Ste B
Kingstree, SC 29556
Phone (843) 355-5628

12 W South St
Manning, SC 29102
Phone (803) 433-4124

210 E Market St
Timmonsville, SC 29161
Phone (843) 346-3730

Interoperability endpoints

  • Direct secure messaging: hleisy26264@directmcleodehealth.org

Organizations & group practices 4

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 1

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": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1942590518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 X ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172214",
            "telephone_number": "800-282-3284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 N Irby St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "29501",
            "country_code": "US",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEISY",
        "first_name": "HEATHER",
        "credential": "MD, MBA, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-15",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "SC",
            "license": "MD52531",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "193607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "LEISY",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.