ADAM HENRY LEEDS-PERALTA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1972603751
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,060 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AZ
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Provider Addresses for ADAM HENRY LEEDS-PERALTA (CRNA)
PO BOX 31001-0698
PASADENA, CA 911100698
Phone: (602) 263-1511
Fax: (602) 263-1619
Type: Mailing
Phoenix Indian Medical Center, 4212, North 16th Street, Phoenix, Maricopa County, Arizona, 85016, United States
PHOENIX, AZ 850165319
Phone: (602) 263-1511
Fax: (602) 263-1637
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $113.
Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($96).
Total Amount
$113
General + Research + Ownership
Payments
2
Total payment records
General Amount
$113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Fisher & Paykel Healthcare Inc | $96 |
| Boston Scientific Corporation | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050311000461 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
| I20191209002441 | I | Certified Registered Nurse Anesthetist (Crna) | AZ | TBD |
| I20250123002296 | I | Certified Registered Nurse Anesthetist (Crna) | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| General Surgery | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Orthopedic Surgery | KS | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Nurse Practitioner | OK | |
| Diagnostic Radiology | ANDHRA PRADESH | |
| Nurse Practitioner | KS | |
| Diagnostic Radiology | CA |
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