Individual provider Active NPI

Leon Aleksandrovich, MD

  • Ophthalmology Physician
  • Bronx, NY
National Provider Identifier
1962600213
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
245002 Issued in NY
Practice address
930 East Tremont Avenue
Bronx, NY 10460
Phone
(718) 860-1111
Fax
(646) 224-1320
NPI assigned
Jul 9, 2007
Last updated
Mar 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 245002 NY Primary

Addresses

Primary practice location

930 East Tremont Avenue
Bronx, NY 10460

Mailing address

930 East Tremont Avenue
Bronx, NY 10460
Phone (718) 860-1111

Other identifiers 1

IdentifierTypeStateIssuer
02912325MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20071001000681 NY Practitioner - Ophthalmology 0345335691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smart Medical PLLCGroup PAC ID 0648400028, 12 clinicians

Practice addresses (Care Compare)

2613 E 16TH St
FL 2
Brooklyn, NY 11235-3805
Phone (718) 265-9900

Merit-based Incentive Payment System (MIPS)

Final score
79.11 of 100Reported as individual
Quality
50.28
Improvement activities
40
Cost
80

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245002NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Healthcare Management Inc. Ophthalmology CurrentSince Jul 20, 2007 Accepting new patients
Grand Vision Optometry P.C. CurrentSince Mar 20, 2013 Accepting new patients
Uptown Healthcare Management, Inc. Current Accepting new patients
General Ophthalmology, P.C Ophthalmology CurrentSince Jan 26, 2011 Accepting new patients
Smart Medical PLLC Ophthalmology CurrentSince Sep 1, 2016 Accepting new patients
Retina Group P.C. Ophthalmology PastSince Sep 1, 2016 Accepting new patients
SLR Ophthalmology Associates, PC Past Accepting new patients

Locations

665 Pelham Pkwy N
Apt 102
Bronx, NY 10467
Phone (347) 324-4207

930 E Tremont Ave
Bronx, NY 10460
Phone (718) 764-1660

142 Joralemon St
Unit Bl
Brooklyn, NY 11201
Phone (718) 265-9900

2327 83rd St
Ste B
Brooklyn, NY 11214
Phone (718) 265-9900

2613 E 16th St
Fl 2
Brooklyn, NY 11235
Phone (718) 265-9900

6373 108th St
Forest Hills, NY 11375
Phone (718) 459-3145

4470 Broadway
#4
New York, NY 10040
Phone (212) 569-7144

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: drleon@smse2085.srs-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1962600213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 EAST TREMONT AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "718-860-1111",
            "fax_number": "646-224-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 EAST TREMONT AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "718-860-1111",
            "fax_number": "646-224-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEKSANDROVICH",
        "first_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-09",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "245002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02912325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.