Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689094153 Individual Practitioner Female Practitioner

Dr. Leila Mahdavian , MD

General Practice • Bronx, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Leila Mahdavian, MD is a certified General Practice practicing in Bronx, NY. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Mahdavian delivers high-quality medical care to the local community at 1010 UNDERHILL AVE.

Dr. Mahdavian is affiliated with Southern California Permanente Medical Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1010 Underhill Ave

Bronx, NY 104726012

Telephone 7182997295
Fax 7182996797
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Bronx, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs -6.0 yrs vs City Avg
City Avg: 27.0 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
86 Specialists

Practicing in Bronx, NY (818 Statewide)

Telehealth Adoption Rate
8.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mahdavian (21 Years) 21 Yrs
Bronx Specialty Average (27.0 Years) 27.0 Yrs

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY PO1992

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Southern California Permanente Medical Group

43112 15th St W, Lancaster, CA 935346219

Phone: 6617262378

Southern California Permanente Medical Group

13652 Cantara St, Panorama City, CA 914025423

Phone: 8183752000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Mana Rao , MD

Internal Medicine - Infectious Disease

NPI 1003162686

Doctor of Medicine (M.D.)

Tandika Boatswain , NP

Nurse Practitioner - Family

NPI 1003163742

Nurse Practitioner

Dr. Keshav Teelucksingh , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003164179

Doctor of Medicine (M.D.)

Latoya Betton , NP

Nurse Practitioner - Family

NPI 1003170275

Nurse Practitioner

Cynthia Jean

Nurse Practitioner - Family

NPI 1003278623
Rashana Thompson , NP, RN

Nurse Practitioner - Family

NPI 1003303561

Nurse Practitioner, Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2017

Registered at 1010 UNDERHILL AVE, BRONX, NY 104726012 (Tel: 7182997295)

📍
Updated Business Mailing Address January 17, 2017

Registered at 3198 GRAND CONCOURSE, BRONX, NY 104581000 (Tel: 7186180401)

👤
Provider Name / Credentials Updated January 17, 2017

Recorded as LEILA MAHDAVIAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2017

General Practice (License #PO1992 in NY)

NPI Profile Active December 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2016

Registered at 1010 UNDERHILL AVE, BRONX, NY 104726012 (Tel: 7182997295)

📍
Updated Business Mailing Address December 27, 2016

Registered at 3198 GRAND CONCOURSE, BRONX, NY 104581000 (Tel: 7186180401)

👤
Provider Name / Credentials Updated December 27, 2016

Recorded as LEILA MAHDAVIAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2016

General Practice (License #PO1992 in NY)

🟢
Initial NPI Registration & Enumeration April 23, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689094153
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2014
Last Update: May 26, 2023
Sole Proprietor: No

Mailing Address

3198 Grand Concourse

Bronx, NY 104581000

Phone: 7186180401

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.