Leyngold Institute for Plastic Surgery PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

LEYNGOLD INSTITUTE FOR PLASTIC SURGERY PLLC

Doing business as

Leyngold Institute for Plastic Surgery

Practice address

3015 E Goldstone Dr Ste 130
Meridian, ID 83642-1549

Phone

(208) 900-4673

NPI assigned

Aug 4, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ilya M Leyngold, MDNPI 1407996176

Title

Medical Director

Phone

(904) 233-1269

Specialties & licenses 1

Addresses

Other names 1

• Leyngold Institute for Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ilya M Leyngold, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Meridian, ID
  • NPI 1407996176
  Medicare reassignment Care Compare group NPD Authorized official
• Mark Michael Leyngold, MD

  • Plastic Surgery Physician
  • Meridian, ID
  • NPI 1093839003
  Medicare reassignment Care Compare group NPD
• Joshua D Fisher, MPAS, PA-C

  • Surgical Physician Assistant
  • Boise, ID
  • NPI 1619614385
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1972277895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 E GOLDSTONE DR STE 130",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421224",
            "telephone_number": "208-900-4673",
            "fax_number": "208-266-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 E GOLDSTONE DR STE 130",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421549",
            "telephone_number": "208-900-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEYNGOLD INSTITUTE FOR PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "LEYNGOLD",
        "authorized_official_first_name": "ILYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "904-233-1269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leyngold Institute for Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Kay Lewis, LCPC, CADC
• David M Lewis, DDS
• Katherine Lewis
• Sara Nicole Lewis, NP
• Shaye Lewis, M.D.
• Ilya M Leyngold, MD
• Mark Michael Leyngold, MD
• LHSC LLC (Lighthouse Senior Care)
• Liang Wu MD LLC (Liang Wu MD)
• Lice Clinics of Boise

• Plastic and Reconstructive Surgery Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Plastic and Reconstructive Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.