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KAREN E. LEITZEL M.D.
NPI 1528090800
Family Medicine in Crown Point, IN

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
1201 S MAIN ST, ATTN: ER DEPT, CROWN POINT, IN 46307(219) 757-3218(219) 757-6882 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen E. Leitzel M.d. NPPES

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

KAREN E. LEITZEL M.D. (NPI 1528090800) is an individual family medicine provider in Crown Point, Indiana, licensed in Indiana (01049212A) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1995).

NPPES Registry Identity

NPI1528090800
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN E. LEITZELCredential: M.D.
Location Address1201 S MAIN ST, ATTN: ER DEPTCrown Point, IN 46307-8481
Mailing Address1040 Sierra Dr, Suite 400Greenwood, IN 46143-7241 · (317) 528-4284 · Fax (317) 865-8355
Phone(219) 757-3218
Fax(219) 757-6882
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1995
Enumeration DateJuly 7, 2006
Last NPPES UpdateMay 1, 2013
✔ NPI 1528090800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01049212A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1201 S MAIN ST, Crown Point, IN 46307
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Other Identifiers 5

Other000000722403IN · Anthem Traditional
Medicare PINM400049703IN
Medicaid200194340IN
Medicare PINM400025870IN
Medicare UPING75734

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Karen E. Leitzel 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 ID3577665991
PECOS Enrollment IDI20070302000325
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 6

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 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.
163 services157 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.
125 services113 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
65 services64 patients
Detection test by immunoassay with direct visual observation for respiratory syncytial virus 87807
This is a test to identify the respiratory syncytial virus, a common cause of lung and respiratory tract infections. It uses immunoassay, a method that detects the virus through a reaction between the virus and specific antibodies. The result is visually observed.
17 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northwest Health-La Porte

Acute Care Hospitals · La Porte, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150006
Location1331 State StreetLa Porte, IN 46350 · La Porte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

MATTHEW J EVON MD
Radiology (Diagnostic Radiology)
1201 S MAIN ST
CROWN POINT, IN 46307
Lake County (219) 757-6320
CARL L METCALF MD
Emergency Medicine
1201 S MAIN ST, EMERGENCY DEPARTMENT
CROWN POINT, IN 46307
Lake County (219) 757-6310
DR. ARNOLFO B ELMAN M.D.
Hospitalist
1201 S MAIN ST
CROWN POINT, IN 46307
Lake County (219) 738-2100
APRIL NIKOLOSKI MSN, AGCNS-BC, APRN
Clinical Nurse Specialist
1201 S MAIN ST
CROWN POINT, IN 46307
Lake County (219) 757-6013
PRATIBA K SANSI MD
Nuclear Medicine
1201 S MAIN ST
CROWN POINT, IN 46307
Lake County (219) 757-6320
MRS. TIA MARIE ZDYCH CRNA
Nurse Anesthetist, Certified Registered
1201 S MAIN ST
CROWN POINT, IN 46307
Lake County (219) 738-2100
KRISTOPHER RENZI NP
Nurse Practitioner
1201 S MAIN ST
CROWN POINT, IN 46307
Lake County (219) 738-2100
NALINI KANDALLU PA-C
Physician Assistant
1201 S MAIN ST
CROWN POINT, IN 46307
Lake County (219) 757-6320

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 Karen Leitzel's NPI number?

The NPI number for Karen Leitzel is 1528090800. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Karen Leitzel located?

Karen Leitzel practices at 1201 S Main St Attn: ER Dept, Crown Point, IN 46307. The listed phone number is (219) 757-3218.

What is Karen Leitzel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karen Leitzel enrolled in Medicare?

Yes. Karen Leitzel 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 Karen Leitzel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Karen Leitzel 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 Karen Leitzel affiliated with any hospitals?

According to CMS data, Karen Leitzel is affiliated with Northwest Health-La Porte.

When was this NPI record last updated?

The NPPES record for Karen Leitzel was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.