DR. LEELA ATHALYE D.O.
NPI 1093097818
Dermatology in Newport Beach, CA

Active since September 16, 2011PECOS EnrolledAccepts Medicare Assignment
360 SAN MIGUEL DR STE 501, NEWPORT BEACH, CA 92660(949) 720-1170 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Leela Athalye D.o. NPPES

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

DR. LEELA ATHALYE D.O. (NPI 1093097818) is an individual dermatology provider in Newport Beach, California, licensed in California (20A11943) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2010).

NPPES Registry Identity

NPI1093097818
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. LEELA ATHALYECredential: D.O.
Location Address360 SAN MIGUEL DR STE 501Newport Beach, CA 92660-7831
Mailing Address360 San Miguel DrNewport Beach, CA 92660-7853 · (499) 720-1170
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2010
Enumeration DateSeptember 16, 2011
Last NPPES UpdateJune 6, 2025
NPPES CertifiedJune 6, 2025
✔ NPI 1093097818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · 20A11943
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
360 SAN MIGUEL DR STE 501, Newport Beach, CA 92660

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Leela Athalye D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850698176
PECOS Enrollment IDI20160330002660
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Leela Athalye reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
360 SAN MIGUEL DR, SUITE 501
Newport Beach, CA 92660
  • Reassigned Medicare billing, California enrollment
  • 25 clinicians in this Medicare group
MOHS-Micrographic Surgery
4950 BARRANCA PKWY, SUITE 307
Irvine, CA 92604
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
Procedural Dermatology
26732 CROWN VALLEY PKWY, SUITE 461
Mission Viejo, CA 92691
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
Dermatology
41990 COOK ST # F1006
Palm Desert, CA 92211
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
617 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
190 services94 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
119 services67 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
104 services67 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
99 services40 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
61 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Physician Assistant
360 SAN MIGUEL DR STE 501
NEWPORT BEACH, CA 92660
Physician Assistant
360 SAN MIGUEL DR STE 501
NEWPORT BEACH, CA 92660
Physician Assistant
360 SAN MIGUEL DR STE 501
NEWPORT BEACH, CA 92660
Physician Assistant
360 SAN MIGUEL DR STE 501
NEWPORT BEACH, CA 92660
Physician Assistant
360 SAN MIGUEL DR STE 501
NEWPORT BEACH, CA 92660
Physician Assistant
360 SAN MIGUEL DR STE 501
NEWPORT BEACH, CA 92660
Dermatology
360 SAN MIGUEL DR STE 501
NEWPORT BEACH, CA 92660

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 Leela Athalye's NPI number?

The NPI number for Leela Athalye is 1093097818. It was assigned to this individual provider in the NPPES registry on September 16, 2011.

Where is Leela Athalye located?

Leela Athalye practices at 360 San Miguel Dr Ste 501, Newport Beach, CA 92660. The listed phone number is (949) 720-1170.

What is Leela Athalye's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Leela Athalye enrolled in Medicare?

Yes. Leela Athalye is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Leela Athalye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leela Athalye reassigns Medicare benefits to 4 organizations: Island Dermatology, Inc (Newport Beach, CA), Seaside Dermatology, Inc. (Irvine, CA), Orange Coast Dermatology, Inc (Mission Viejo, CA) and Advanced Institute Of Dermatology, Inc (Palm Desert, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leela Athalye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leela Athalye accept?

Health plans from Moda Health Plan, Inc. list Leela Athalye as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leela Athalye was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.