Marc Leiserowitz, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

5734 Issued in NV

Practice address

1294 S Jones Blvd
Las Vegas, NV 89146-4852

Phone

(702) 877-1887

Fax

(702) 877-4536

NPI assigned

Oct 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Nephrology & Endocrine Associates Inc

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1801886700
  Medicare reassignment NPD
• Nephrology & Endocrine Associates Inc

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1689175333
  NPD
• Greater Las Vegas Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • North Las Vegas, NV
  • NPI 1902868169
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1952391963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891464852",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891464852",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISEROWITZ",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "5734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952391963",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Leiner, PHARMD
• Julie Anne Leinhauser, APRN-BC
• Krista Leinhos, CPHT
• Marissa Leininger
• Shannon D Leininger, MED, RD, LD, CDE
• Sarah Leiserowitz
• Cheryl Leisinger-Fletcher
• Judith Cherotich Leitich, APRN
• Marc Jay Leitner, M.D.
• Maria Teresa Leiva Avila

• Nephrology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nephrology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.