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MR. MICAH JAMES LEESTMA D.O. NPI 1013201623


NPI Information

NPI: 1013201623
Provider Name: MR. MICAH JAMES LEESTMA, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: LEESTMA MEDICAL CLINIC, INC

PECOS Registration: Yes

Address:
3231 EUCLID AVE
5TH FLOOR
BERWYN, IL
ZIP 60402
Phone: (708) 783-2000
Get Directions

MR. Micah James Leestma, D.O. is a family medicine in Berwyn, IL with 13 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Micah James Leestma, D.O. NPI is 1013201623. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:2011

The provider's business location address is:

3231 EUCLID AVE
5TH FLOOR
BERWYN, IL
ZIP 60402-471
Phone: (708) 783-2000
Fax: (708) 783-3656

The NPI 1013201623 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Urinalysis, manual test (HCPCS:81002)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Osteopathic manipulative treatment to 5-6 body regions (HCPCS:98927)
  • Destruction of up to 14 skin growths (HCPCS:17110)

The enumeration date for this NPI number is 6/1/2011 and was last updated on 1/10/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine125-059138ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.