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LEIGHLA DERGHAM
NPI 1861208829
Physician Assistant - Medical in Boston, MA

Active since December 05, 2024PECOS Enrolled
136 HARRISON AVE, BOSTON, MA 02111(443) 345-7316 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: May 14, 2026, Dec 5, 2024 (2 updates tracked since 2024).

About Leighla Dergham NPPES

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

LEIGHLA DERGHAM (NPI 1861208829) is an individual medical provider in Boston, Massachusetts and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861208829
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLEIGHLA DERGHAM
Location Address136 HARRISON AVEBoston, MA 02111-1817
Mailing Address136 Harrison AveBoston, MA 02111-1817
Phone(443) 345-7316
Sole ProprietorNo
Enumeration DateDecember 5, 2024
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1861208829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
136 HARRISON AVE, Boston, MA 02111
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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)

Leighla Dergham 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.

KELLY E FARRELL
Physician Assistant
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (404) 401-8489
CATHERINE AHOLA
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-7000
BARBARA SOGOLOFF
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (781) 771-7987
PEYTON NICKERSON
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (207) 408-0825
HAMIE HAMIE
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-0405
JOHN CURLEY
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-0405
JENNA GOLD
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-7000
ALEX ADAMS NICKERSON
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-6613

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 Leighla Dergham's NPI number?

The NPI number for Leighla Dergham is 1861208829. It was assigned to this individual provider in the NPPES registry on December 5, 2024.

Where is Leighla Dergham located?

Leighla Dergham practices at 136 Harrison Ave, Boston, MA 02111. The listed phone number is (443) 345-7316.

What is Leighla Dergham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Leighla Dergham enrolled in Medicare?

Yes. Leighla Dergham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leighla Dergham was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.