NPIMap

Individual provider Active NPI

Louis Dominick Leone, D.O.

  • Family Medicine Physician
  • Chardon, OH
National Provider Identifier
1992791636
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4166 Issued in OH
Practice address
320 Center St
Chardon, OH 44024-1165
Phone
(440) 285-8585
Fax
(440) 285-3754
NPI assigned
Sep 27, 2005
Last updated
Feb 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4166 OH Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 4166 OH

Addresses

Primary practice location

320 Center St
Chardon, OH 44024-1165

Mailing address

320 Center St
Chardon, OH 44024-1165
Phone (440) 285-8585

Other identifiers 4

IdentifierTypeStateIssuer
000000136043OtherOHUNICARE
0663670MedicaidOH
109520OtherOHKAISER
000000136043OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070122000387 OH Practitioner - Family Practice 3577564426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake Hospital System, Inc.Group PAC ID 6002713922, 92 clinicians

Practice addresses (Care Compare)

320 Ctr St
Chardon, OH 44024-1165
Phone (440) 285-8585

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4166OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc. CurrentSince Apr 1, 2022 Accepting new patients
Lake Hospital System, Inc Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
Lake Hospital System Inc Family Medicine Current Accepting new patients
Lake Hospital System, Inc Family Medicine PastSince Sep 1, 2006 Accepting new patients

Locations

320 Center St
Chardon, OH 44024
Phone (216) 285-4999

320 Center St
Ste 3
Chardon, OH 44024
Phone (440) 285-8585

320 Center St
Ste E
Chardon, OH 44024
Phone (440) 285-8585

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

Interoperability endpoints

  • Direct secure messaging: lleone37162@ehrdirect.uhhospitals.org

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1992791636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CENTER ST",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241165",
            "telephone_number": "440-285-8585",
            "fax_number": "440-285-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CENTER ST",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241165",
            "telephone_number": "440-285-8585",
            "fax_number": "440-285-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONE",
        "first_name": "LOUIS",
        "middle_name": "DOMINICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "4166",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "4166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "000000136043",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0663670",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "109520",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000136043",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

Verify at the official NPI Registry.