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DR. LEYDA GISSELLE SANCHEZ ORTIZ M.D.
NPI 1306002415
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Guaynabo, PR

Active since July 29, 2008PECOS EnrolledAccepts Medicare Assignment
100 CARR 165 STE 308, GUAYNABO, PR 00968(787) 365-6959 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 27, 2023, Feb 2, 2022, Feb 20, 2021 and 4 more (7 updates tracked since 2016).

About Dr. Leyda Gisselle Sanchez Ortiz M.d. NPPES

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

DR. LEYDA GISSELLE SANCHEZ ORTIZ M.D. (NPI 1306002415) is an individual neurology with special qualifications in child neurology provider in Guaynabo, Puerto Rico, licensed in Puerto Rico (18054) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of University Of Puerto Rico School Of Medicine (2008).

NPPES Registry Identity

NPI1306002415
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameDR. LEYDA GISSELLE SANCHEZ ORTIZCredential: M.D.
Location Address100 CARR 165 STE 308Guaynabo, PR 00968-8050
Mailing AddressPo Box 10076San Juan, PR 00922-0076 · (787) 365-6959
Phone(787) 365-6959
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2008
Enumeration DateJuly 29, 2008
Last NPPES UpdateJanuary 27, 20237 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
✔ NPI 1306002415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in PR · 18054✔ Licensed in NJ · 25MA10259000✔ Licensed in NE · 33078✔ Licensed in WA · MD61219871
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. Leyda Gisselle Sanchez Ortiz M.d. 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 ID8224332291
PECOS Enrollment IDI20220208001227
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 Leyda Sanchez Ortiz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

King County Public Hospital District No 2
Neurology
12039 NE 128TH ST, STE 300
Kirkland, WA 98034
  • Reassigned Medicare billing, Washington enrollment
  • 1,074 clinicians in this Medicare group
NPI 1265527584 (425) 899-5350
Nebraska Methodist Hospital
Emergency Medicine
8303 DODGE ST
Omaha, NE 68114
  • Reassigned Medicare billing, Nebraska enrollment
  • 239 clinicians in this Medicare group
NPI 1689628372 (402) 354-4000
New Jersey Pediatric Neuroscience Institute, LLC
Neurological Surgery
131 MADISON AVE, SUITE 140
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 18 clinicians in this Medicare group
NPI 1558503672 (973) 326-9000
Overlake Medical Clinics, LLC
Specialist
1135 116TH AVE NE, SUITE 110
Bellevue, WA 98004
  • Reassigned Medicare billing, Washington enrollment
  • 566 clinicians in this Medicare group
NPI 1801828421 (425) 688-5670

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

Hospital Affiliations CMS Care Compare 2

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00968 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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.

Other Providers at the Same Location NPPES

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

PEDIATRIC NEUROEPI LLC
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
100 CARR 165 STE 308
GUAYNABO, PR 00968
Guaynabo Municipio (787) 365-6959

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 Leyda Sanchez Ortiz's NPI number?

The NPI number for Leyda Sanchez Ortiz is 1306002415. It was assigned to this individual provider in the NPPES registry on July 29, 2008.

Where is Leyda Sanchez Ortiz located?

Leyda Sanchez Ortiz practices at 100 Carr 165 Ste 308, Guaynabo, PR 00968. The listed phone number is (787) 365-6959.

What is Leyda Sanchez Ortiz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Leyda Sanchez Ortiz enrolled in Medicare?

Yes. Leyda Sanchez Ortiz 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 Leyda Sanchez Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leyda Sanchez Ortiz reassigns Medicare benefits to 4 organizations: King County Public Hospital District No 2 (Kirkland, WA), Nebraska Methodist Hospital (Omaha, NE), New Jersey Pediatric Neuroscience Institute, LLC (Morristown, NJ) and Overlake Medical Clinics, LLC (Bellevue, WA). 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 Leyda Sanchez Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leyda Sanchez Ortiz accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Leyda Sanchez Ortiz 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 Leyda Sanchez Ortiz affiliated with any hospitals?

According to CMS data, Leyda Sanchez Ortiz is affiliated with Overlake Hospital Medical Center and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Leyda Sanchez Ortiz was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.