LEILA MAHDAVIAN M.D.
NPI 1689094153
General Practice in Bronx, NY

NPI Status: Active since April 23, 2014

Contact Information

1010 UNDERHILL AVE
BRONX, NY
ZIP 10472
Phone: (718) 299-7295
Fax: (718) 299-6797

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  • Individual
  • Female
  • Years of Experience 21
  • General Practice
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LEILA MAHDAVIAN

This page provides the complete NPI Profile along with additional information for Leila Mahdavian, a primary care provider established in Bronx, New York with a medical specialization in General Practice and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1689094153 assigned on April 2014. The practitioner's primary taxonomy code is 208D00000X with license number PO1992 (NY). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1689094153
Provider Name
LEILA MAHDAVIAN M.D.
Gender
Female
Entity Type
Individual
Location Address
1010 UNDERHILL AVE BRONX, NY 10472
Location Phone
(718) 299-7295
Location Fax
(718) 299-6797
Mailing Address
3198 GRAND CONCOURSE BRONX, NY 10458
Mailing Phone
(718) 618-0401
Mailing Fax
(718) 299-6797
Medical School Name
OTHER
Graduation Year
2005
Is Sole Proprietor?
No
Enumeration Date
04-23-2014
Last Update Date
05-26-2023
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A primary care provider (PCP) like Leila Mahdavian 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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
PO1992
License State
NY
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS Enrollment Status

Leila Mahdavian is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Leila Mahdavian 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

  • PECOS PAC ID: 2769841345

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230629001383

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

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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.
1689094153
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26169098110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 0 + 9 + 8 + 1 + 1 + 0 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1689094153 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588999742BRONX CENTER FOR RENAL DIALYSIS LLC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)1010 UNDERHILL AVE
BRONX, NY 10472
(718) 863-6700
1538741665 NARINE SALOMONE RN
Individual
Registered Nurse1010 UNDERHILL AVE
BRONX, NY 10472
(718) 863-6700
1376650226BRONX CENTER FOR REHABILITATION AND HEALTH CARE
Organization
Skilled Nursing Facility1010 UNDERHILL AVE
BRONX, NY 10472
(718) 863-6700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689094153, enumerated in the NPI registry as an "individual" on April 23, 2014

The provider is located at 1010 Underhill Ave Bronx, Ny 10472 and the phone number is (718) 299-7295

The provider's speciality is General Practice with taxonomy code 208D00000X

The provider has more than 21 years of experience.

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 April 23, 2014. 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.