Davi P Sa Leitao (NPI# 1407084064, PAC ID# 9133344070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1407084064 |
| PAC ID by PECOS | 9133344070 |
| Professional Enrollment ID | I20140708002347 |
| Full Name | Davi P Sa Leitao |
| Organization Legal Name | ASCENSION MEDICAL GROUP PROMED |
| Address |
501 S Drake Rd Kalamazoo MI 49009-3234 |
| Phone Number | 2693445552 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | RHEUMATOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7315856077 |
| Number of Group Practice Members | 316 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230117 | BORGESS MEDICAL CENTER |
| 230017 | BRONSON METHODIST HOSPITAL |
| 231328 | ALLEGAN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2693445552 | ASCENSION MEDICAL GROUP PROMED |
| 7901 Angling Rd, Portage, MI 49024-0714 | ASCENSION MEDICAL GROUP PROMED |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_007_priorMI | Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%) | 100% | |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 100% |
| Organization Legal Name | ASCENSION MEDICAL GROUP PROMED |
| Physicians | 281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cristopher J Kaps | Neurology | Ascension Medical Group Promed | 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1645 |
| Desmond A Jackson | Rheumatology | Ascension Medical Group Promed | 501 S Drake Rd, Kalamazoo, MI 49009-3234 |
| Amy E Pew | Physician Assistant | Ascension Medical Group Promed | 7895 Currier Dr, Portage, MI 49002-4314 |
| Richard A Finedell | Nurse Practitioner | Ascension Medical Group Promed | 9880 E Michigan Ave, Suite 100, Galesburg, MI 49053-8641 |
| Robert Secor | Nurse Practitioner | Ascension Medical Group Promed | 11320 S M 43 Hwy, Delton, MI 49046-9415 |
| Richard A Semones | Internal Medicine | Ascension Medical Group Promed | 940 John St, Kalamazoo, MI 49001-2857 |
| Gabriella Palmitessa | Family Medicine | Ascension Medical Group Promed | 6565 W Main St, Kalamazoo, MI 49009-6114 |
| Terri J Dennis | Nurse Practitioner | Ascension Medical Group Promed | 1241 W Broadway St, Three Rivers, MI 49093-8319 |
| Rajiv Rangrass | Obstetrics/gynecology | Ascension Medical Group Promed | 671 Allegan St, Suite A, Plainwell, MI 49080-1685 |
| Xue Wang | Family Medicine | Ascension Medical Group Promed | 3035 Capital Ave Sw, Battle Creek, MI 49015-4334 |
| Street Address |
501 S DRAKE RD |
| City | KALAMAZOO |
| State | MI |
| Zip | 49009-3234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Desmond A Jackson | Rheumatology | Ascension Medical Group Promed | 501 S Drake Rd, Kalamazoo, MI 49009-3234 |
| Sue Wood | Nurse Practitioner | Ascension Medical Group Promed | 501 S Drake Rd, Kalamazoo, MI 49009-3234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa Uganski Westrate | Optometry | Rx Optical Laboratories, Inc. | 5349 W Main St, Kalamazoo, MI 49009-1007 |
| Matthew A Parker | Optometry | Rx Optical Laboratories, Inc. | 5349 W Main St, Kalamazoo, MI 49009-1007 |
| Amy L Vincent | Occupational Therapy | The Therapy Place, L.L.C. | 626 Maple Hill Dr, Kalamazoo, MI 49009-1032 |
| Daniel R Miller | Chiropractic | 646 Maple Hill Dr, Kalamazoo, MI 49009-1032 | |
| Hannah M Davidson | Occupational Therapy | The Therapy Place, L.L.C. | 626 Maple Hill Dr, Kalamazoo, MI 49009-1032 |
| Olivia R Williams | Occupational Therapy | The Therapy Place, L.L.C. | 626 Maple Hill Dr, Kalamazoo, MI 49009-1032 |
| Nicholas John Ciotti | Optometry | West Point Optical Group | 575 N Drake Rd, Kalamazoo, MI 49009-1169 |
| Adam T Swain | Physical Therapy | Alliance Physical Therapy Group LLC | 5886 Venture Park Dr, Kalamazoo, MI 49009-1848 |
| Stefany M Schiller | Physical Therapy | Alliance Physical Therapy Group LLC | 5886 Venture Park Dr, Kalamazoo, MI 49009-1848 |
| Scott T Miller | Physical Therapy | Alliance Physical Therapy Group LLC | 5886 Venture Park Dr, Kalamazoo, MI 49009-1848 |
| Find all physicians in zip 49009 | |||
| City | KALAMAZOO |
| Zip Code | 49009 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | KALAMAZOO + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Davi P Sa Leitao.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.