LEPORT SURGICAL MEDICAL CORPORATION
NPI 1194940015
Specialist in Fountain Valley, CA
About Leport Surgical Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEPORT SURGICAL MEDICAL CORPORATION (NPI 1194940015) is a healthcare organization registered as a specialist in Fountain Valley, California and active in the NPI registry since April 2007. The organization lists Peter Cary Leport, Provider/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Leport Surgical Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Leport Surgical Medical Corporation, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Fountain Valley, CA 92708
Fountain Valley, CA 92708
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Leport Surgical Medical Corporation's NPI number?
The NPI number for Leport Surgical Medical Corporation is 1194940015. It was assigned to this organization in the NPPES registry on April 16, 2007.
Where is Leport Surgical Medical Corporation located?
Leport Surgical Medical Corporation is located at 18111 Brookhurst St Suite 5600, Fountain Valley, CA 92708. The listed phone number is (714) 861-4666.
What is Leport Surgical Medical Corporation's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Leport Surgical Medical Corporation enrolled in Medicare?
Yes. Leport Surgical Medical Corporation is registered in the Medicare PECOS enrollment system.
When is Leport Surgical Medical Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Leport Surgical Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in General Surgery, reassign their Medicare billing to Leport Surgical Medical Corporation. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Leport Surgical Medical Corporation was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Leport Surgical Medical Corporation · NPI 1194940015
Specialist organization in Fountain Valley, California. Organization record, active in the CMS NPPES registry since April 16, 2007.
## Identity
- **NPI:** 1194940015 (Entity type: Organization)
- **Enumerated:** April 16, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Peter Leport, PROVIDER/OWNER
## Practice location
- **Address:** 18111 BROOKHURST ST, SUITE 5600, Fountain Valley, CA 92708-6728
- **Phone:** (714) 861-4666 · **Fax:** (714) 916-5534
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (General Surgery) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2012
- **Other identifiers:** Medicare ID-Type Unspecified W15023 (CA); Medicaid 00G471930 (CA); Medicare UPIN B57869 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1194940015) · Data from the CMS NPPES public registry.