LEAH WORMACK MD
NPI 1083243117
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since April 01, 2020PECOS Enrolled
1001 POTRERO AVE # 6D, SAN FRANCISCO, CA 94110(415) 206-3409 Get Directions Write a Review

NPPES record last updated: April 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2020, Apr 1, 2020 (2 updates tracked since 2020).

About Leah Wormack Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH WORMACK MD (NPI 1083243117) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083243117
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLEAH WORMACKCredential: MD
Location Address1001 POTRERO AVE # 6DSan Francisco, CA 94110-3518
Mailing Address21 Kelso DrLavale, MD 21502-7127 · (240) 362-2717
Sole ProprietorYes
Enumeration DateApril 1, 2020
Last NPPES UpdateApril 12, 20202 updates tracked since enumeration
NPPES CertifiedApril 12, 2020
NPI 1083243117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1001 POTRERO AVE # 6D, San Francisco, CA 94110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Leah Wormack Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1001 POTRERO AVE # 6D
SAN FRANCISCO, CA 94110
Obstetrics & Gynecology
1001 POTRERO AVE # 6D, SFGH OBGYN
SAN FRANCISCO, CA 94110
Student in an Organized Health Care Education/Training Program
1001 POTRERO AVE # 6D
SAN FRANCISCO, CA 94110
Obstetrics & Gynecology
1001 POTRERO AVE # 6D, SFGH OB GYN
SAN FRANCISCO, CA 94110
Obstetrics & Gynecology
1001 POTRERO AVE # 6D, SFGH OB GYN
SAN FRANCISCO, CA 94110
Obstetrics & Gynecology
1001 POTRERO AVE # 6D, SFGH OB GYN
SAN FRANCISCO, CA 94110
Obstetrics & Gynecology
1001 POTRERO AVE # 6D, SFGH OB GYN
SAN FRANCISCO, CA 94110
Obstetrics & Gynecology
1001 POTRERO AVE # 6D, SFGH OBGYN
SAN FRANCISCO, CA 94110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leah Wormack's NPI number?

The NPI number for Leah Wormack is 1083243117. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Leah Wormack located?

Leah Wormack practices at 1001 Potrero Ave # 6D, San Francisco, CA 94110. The listed phone number is (415) 206-3409.

What is Leah Wormack's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Leah Wormack enrolled in Medicare?

Yes. Leah Wormack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leah Wormack was last updated on April 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.