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DR. ELISABETH JACQUES LEEFLANG M.D.
NPI 1376801431
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since April 26, 2012PECOS Enrolled
MSC10 5590 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-2345(505) 272-3274 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2024, Dec 27, 2021, Oct 9, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Elisabeth Jacques Leeflang M.d. NPPES

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

DR. ELISABETH JACQUES LEEFLANG M.D. (NPI 1376801431) is an individual student in an organized health care education/training program in Albuquerque, New Mexico, licensed in New Mexico (RS2024-0224) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1376801431
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ELISABETH JACQUES LEEFLANGCredential: M.D.
Location AddressMSC10 5590 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc10 5590 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-2345 · Fax (505) 272-2374
Phone(505) 272-2345
Fax(505) 272-3274
Sole ProprietorYes
Enumeration DateApril 26, 2012
Last NPPES UpdateNovember 15, 20244 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1376801431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NM · RS2024-0224
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.
MSC10 5590 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
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Secondary Practice Location 1

Location 1200 W Arbor DrSan Diego, CA 92103-9000 · Phone (619) 543-6711

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elisabeth Jacques Leeflang M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Elisabeth Leeflang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
624 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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

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.

PAULINA VICTORIA MAJEWSKA MD
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
BUTHEINA GHWEIR MD
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
DANIELLA ALEXANDRA MARTIN DO
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
LAURA ASHTON PORTER
Pediatrics
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2375
MI THUY HONG DO
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
ARATI BARTAULA MD
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
ZACHARY ERNST
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
AIDA BILALI KA MD
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345

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 Elisabeth Leeflang's NPI number?

The NPI number for Elisabeth Leeflang is 1376801431. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Where is Elisabeth Leeflang located?

Elisabeth Leeflang practices at Msc10 5590 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-2345.

What is Elisabeth Leeflang's specialty?

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

Is Elisabeth Leeflang enrolled in Medicare?

Yes. Elisabeth Leeflang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elisabeth Leeflang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elisabeth Leeflang reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Elisabeth Leeflang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elisabeth Leeflang was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.