Active NPI
Misako McLeod, DPM
- Foot & Ankle Surgery Podiatrist
- Hilo, HI
National Provider Identifier
1982891297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO-215
- Practice address
- 67 Waianuenue Avenue
Hilo, HI 96720 - Phone
- (808) 961-3668
- NPI assigned
- Oct 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4736 | CA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1107 | NV | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO-215 | HI | Primary |
Addresses
Primary practice location
67 Waianuenue Avenue
Hilo, HI 96720
Mailing address
67-1249 Koaliula PL
Kamuela, HI 96743-8463
Phone (415) 302-0239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H108090 | Other | HI | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160504002592 | HI | Practitioner - Podiatry | 5991865537 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1107 | NV | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Specialists of Hawaii LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Misako McLeod PLLC | Past | Accepting new patients |
Locations
276 Waianuenue Ave
Hilo, HI 96720
Phone (808) 731-5544
Interoperability endpoints
- drmcleod@hfaassl-hi.direct.office.nextgen.com
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.
-
- Foot & Ankle Surgery Podiatrist
- Hilo, HI
- NPI 1316770258
-
- Foot Surgery Podiatrist
- Las Vegas, NV
- NPI 1770968000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1982891297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67-1249 KOALIULA PL",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438463",
"telephone_number": "415-302-0239",
"fax_number": "844-412-6553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 WAIANUENUE AVENUE",
"city": "HILO",
"state": "HI",
"postal_code": "96720",
"telephone_number": "808-961-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "MISAKO",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-01",
"last_updated": "2024-08-14",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4736",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NV",
"license": "1107",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "HI",
"license": "PO-215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "H108090",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.