Individual provider Active NPI

Leera M Briceno, MD

  • Dermatology Physician
  • North Easton, MA
National Provider Identifier
1952374209
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
76086 Issued in MA
Practice address
31 Roche Bros Way
Suite 200
North Easton, MA 02356-1032
Phone
(508) 535-3376
Fax
(508) 535-3377
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 76086 MA
Dermatology Physician 207N00000X 76086 MA Primary

Addresses

Primary practice location

31 Roche Bros Way
Suite 200
North Easton, MA 02356-1032

Mailing address

31 Roche Bros Way
Suite 200
North Easton, MA 02356-1032
Phone (508) 535-3376

Other identifiers 1

IdentifierTypeStateIssuer
3101509MedicaidMA

Other names 1

  • Leera Setalsingh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040610001491 MA Practitioner - Dermatology 1456334309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Massachusetts Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Dermatology Physicians PCGroup PAC ID 4789767104, 13 clinicians

Practice addresses (Care Compare)

31 Roche Bros Way
Suite 200
North Easton, MA 02356-1032
Phone (508) 238-3774

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions992
Removal of nail tissue1-10
Removal or shaving of skin growth33
Skin biopsy331

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Dermatology Physicians, P.C. Dermatology CurrentSince Jun 10, 1992 Accepting new patients
Steward Medical Group, Inc PastSince Jun 10, 1992 Accepting new patients

Locations

31 Roche Brothers Way
Ste 200
North Easton, MA 02356
Phone (508) 238-3774

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1952374209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROCHE BROS WAY",
            "address_2": "SUITE 200",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561032",
            "telephone_number": "508-535-3376",
            "fax_number": "508-535-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ROCHE BROS WAY",
            "address_2": "SUITE 200",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561032",
            "telephone_number": "508-535-3376",
            "fax_number": "508-535-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICENO",
        "first_name": "LEERA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "MA",
            "license": "76086",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "76086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3101509",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEERA",
            "last_name": "SETALSINGH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Easton, MA

Sources for this page

Verify at the official NPI Registry.