LEAH MARIE VIDAL PA-C
NPI 1124865209
Physician Assistant - Medical in Pinehurst, NC

NPI Status: Active since July 15, 2024

Contact Information

5 FIRST VILLAGE DR
PINEHURST, NC
ZIP 28374
Phone: (910) 295-6831

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • PECOS Enrolled

About LEAH VIDAL

This page provides the complete NPI Profile along with additional information for Leah Vidal, a primary care provider established in Pinehurst, North Carolina with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1124865209 assigned on July 2024. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1124865209
Provider Name
LEAH MARIE VIDAL PA-C
Gender
Female
Entity Type
Individual
Location Address
5 FIRST VILLAGE DR PINEHURST, NC 28374
Location Phone
(910) 295-6831
Mailing Address
5 FIRST VILLAGE DR PINEHURST, NC 28374
Mailing Phone
(321) 591-9367
Is Sole Proprietor?
No
Enumeration Date
07-15-2024
Last Update Date
08-22-2024
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A primary care provider (PCP) like Leah Vidal sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License State
NC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207VG0400XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology
Gynecology

0010-14407 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO
  • WellCare Secure Health Bronze - PPO
  • WellCare Secure Health Gold - PPO
  • WellCare Secure Health Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Leah Vidal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for LEAH MARIE VIDAL PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124865209
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21441661020
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 6 + 6 + 1 + 0 + 2 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1124865209 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366423170DR. LORRAINE MAYER-WOLPERT BERMAN M.D.
Individual
Surgery (Vascular Surgery)5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 295-6831
1760419253MRS. KELLY DENISE TOLENTINO PT
Individual
Physical Therapist5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 295-6831
1598779399 ROBERT MICHAEL KELLER PA-C
Individual
Physician Assistant (Surgical)5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 295-6831
1164716858 JACKIE BARBER HAYWOOD AU.D.
Individual
Audiologist5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 295-6831
1609127471 RAYMUND MIRAFLOR ELAMPARO DPT
Individual
Physical Therapist5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 235-2713
1952382707DR. JOEL ALAN BERMAN M.D.
Individual
Surgery (Vascular Surgery)5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 235-2723
1699880070 NOEL BRUCE MCDEVITT MD
Individual
Surgery (Plastic and Reconstructive Surgery)5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 295-0878
1578804258 KIMBERLY B KELLEY DPT, PT
Individual
Physical Therapist5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 235-2713
1225134109 BRUCE JAUFMANN M.D.
Individual
Neurological Surgery5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 295-0215
1497161665 JEAN HEE CHONG DPT
Individual
Physical Medicine & Rehabilitation5 FIRST VILLAGE DR
PINEHURST, NC 28374
(646) 808-6864
1093105314 JESSICA OTZ PTA
Individual
Physical Therapy Assistant5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 235-2713
1902274459 TRAVIS LEE HUFFMAN PT
Individual
Physical Therapist5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 235-2713
1427403047MRS. STEFANIE JO MANSFIELD LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 295-6831
1407202153MS. SARAH BETH MULHAUL LCSWA
Individual
Social Worker (Clinical)5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 295-6831
1649285248MRS. LORI L MELTZER P.T.
Individual
Physical Therapist5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 235-2713
1043221658DR. KURT PATRICK WOHLRAB MD, MPH
Individual
Orthopaedic Surgery5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 235-2977
1912012907 ASHWINI SHETH P.T.
Individual
Physical Therapist5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 235-2713
1215081245DR. RUSSELL BRENT STOKES M.D.
Individual
Plastic Surgery5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 295-6831
1356462287DR. DANIEL MARK WILLIAMS M.D.
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 235-2977
1154529626DR. PAUL ANTHONY VIETA JR. M.D.
Individual
Surgery (Vascular Surgery)5 FIRST VILLAGE DR
PINEHURST, NC 28374
(910) 215-2536

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124865209, enumerated in the NPI registry as an "individual" on July 15, 2024

The provider is located at 5 First Village Dr Pinehurst, Nc 28374 and the phone number is (910) 295-6831

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider might be accepting Accepts: Aetna CVS Health, Cigna Healthcare and WellCare of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on July 15, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.