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LEESA M MADSEN PA NPI 1386669307


NPI Information

NPI: 1386669307
Provider Name: LEESA M MADSEN, PA
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
2722 MERRILEE DR
SUITE 230
FAIRFAX, VA
ZIP 22031
Phone: (703) 698-4483
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Leesa M Madsen, PA is a diagnostic radiology radiology in Fairfax, VA with 32 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Leesa M Madsen, PA NPI is 1386669307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

2722 MERRILEE DR
SUITE 230
FAIRFAX, VA
ZIP 22031-400
Phone: (703) 698-4483
Fax: (703) 573-0880

The NPI 1386669307 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.

  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)

The enumeration date for this NPI number is 7/12/2006 and was last updated on 4/30/2008.


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
12085B0100XRadiologyBody Imaging0110840790VIRGINIANo
22085U0001XRadiologyDiagnostic Ultrasound0110840790VIRGINIANo
32085R0202XRadiologyDiagnostic Radiology0110840790VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P32506MEDICARE UPINVIRGINIA
2010316936MEDICAIDVIRGINIA
30101305055MEDICAIDVIRGINIA
4010316910MEDICAIDVIRGINIA
5010317401MEDICAIDVIRGINIA
6010317274MEDICAIDVIRGINIA
7020872F43MEDICARE PINDISTRICT OF COLUMBIA
80101317347MEDICAIDVIRGINIA
9010316855MEDICAIDVIRGINIA
10010317452MEDICAIDVIRGINIA
11012639F12MEDICARE PINVIRGINIA
12259998OTHERVIRGINIAKAISER PERMANENTE
13010304989MEDICAIDVIRGINIA
14010316847MEDICAIDVIRGINIA
15010317240MEDICAIDVIRGINIA
16010317428MEDICAIDVIRGINIA
170101317371MEDICAIDVIRGINIA
180101316774MEDICAIDVIRGINIA
190101317452MEDICAIDVIRGINIA
20010316804MEDICAIDVIRGINIA
21010316839MEDICAIDVIRGINIA
22010317312MEDICAIDVIRGINIA
230101310791MEDICAIDVIRGINIA

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: 4/28/2024

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.