ALYSSA RENEA LEIBENGOOD MD
NPI 1710737804
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Q: What is Alyssa Leibengood's NPI number?

The NPI number for Alyssa Leibengood is 1710737804. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Alyssa Leibengood's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alyssa Leibengood was last updated on March 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2024PECOS Enrolled

625 19TH ST S, BIRMINGHAM, AL 35233(205) 975-7104 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Alyssa Renea Leibengood Md NPPES

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

ALYSSA RENEA LEIBENGOOD MD (NPI 1710737804) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710737804

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALYSSA RENEA LEIBENGOODCredential: MD

Location Address625 19TH ST SBirmingham, AL 35233-1900

Mailing Address625 19th St SBirmingham, AL 35233-1900

Phone(205) 975-7104

Sole ProprietorNo

Enumeration DateMarch 25, 2024

NPPES CertifiedMarch 23, 2024

✔ NPI 1710737804 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

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.

625 19TH ST S, Birmingham, AL 35233

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Renea Leibengood Md 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.

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.

RUI ZHENG-PYWELL MD

Student in an Organized Health Care Education/Training Program