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LEENA SHAHLA MD
NPI 1235489774
Internal Medicine - Endocrinology, Diabetes & Metabolism in Durham, NC

Active since September 12, 2012PECOS EnrolledAccepts Medicare Assignment
88.44/100
CMS Quality Rating
234 CROOKED CREEK PKWY STE 400, DURHAM, NC 27713(919) 385-3000(919) 576-8821 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leena Shahla Md NPPES

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

LEENA SHAHLA MD (NPI 1235489774) is an individual endocrinology, diabetes & metabolism provider in Durham, North Carolina, licensed in North Carolina (2024-00595) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1235489774
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameLEENA SHAHLACredential: MD
Location Address234 CROOKED CREEK PKWY STE 400Durham, NC 27713-8507
Mailing Address234 Crooked Creek Pkwy Ste 400Durham, NC 27713-8507 · (919) 385-3000 · Fax (919) 576-8821
Phone(919) 385-3000
Fax(919) 576-8821
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 12, 2012
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1235489774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NC · 2024-00595
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
234 CROOKED CREEK PKWY STE 400, Durham, NC 27713
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leena Shahla Md 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 ID5597073817
PECOS Enrollment IDI20240806001962
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.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services32 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
35 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services28 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
26 services11 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services18 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
17 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27713 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40
Cost59.36

Other Providers at the Same Location NPPES 6

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

DR. EUGENE FRIEDMAN M.D., PH.D.
Internal Medicine (Pulmonary Disease)
234 CROOKED CREEK PKWY STE 400
DURHAM, NC 27713
Durham County (919) 620-5300
HARPREET KAUR NP
Nurse Practitioner
234 CROOKED CREEK PKWY STE 400
DURHAM, NC 27713
Durham County (919) 613-2243
CRISTINE RADOJICIC MD
Allergy & Immunology
234 CROOKED CREEK PKWY STE 400
DURHAM, NC 27713
Durham County (919) 385-3000
LYNETTE M SPENCER RD,LDN
Dietitian, Registered
234 CROOKED CREEK PKWY STE 400
DURHAM, NC 27713
Durham County (919) 385-2720
SONA SHARMA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
234 CROOKED CREEK PKWY STE 400
DURHAM, NC 27713
Durham County (919) 620-5300
MARGARET HANNAH SWERLICK NP
Nurse Practitioner
234 CROOKED CREEK PKWY STE 400
DURHAM, NC 27713
Durham County (919) 620-5300

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 Leena Shahla's NPI number?

The NPI number for Leena Shahla is 1235489774. It was assigned to this individual provider in the NPPES registry on September 12, 2012.

Where is Leena Shahla located?

Leena Shahla practices at 234 Crooked Creek Pkwy Ste 400, Durham, NC 27713. The listed phone number is (919) 385-3000.

What is Leena Shahla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Leena Shahla enrolled in Medicare?

Yes. Leena Shahla 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.

What insurance does Leena Shahla accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AvMed and Blue Cross and Blue Shield of NC and 2 other insurers list Leena Shahla 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.

Is Leena Shahla affiliated with any hospitals?

According to CMS data, Leena Shahla is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Leena Shahla was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.