MRS. CORALIA ILINCA LEYDERMAN (PA-C) – Physician Assistant, NPI 1124426812

MRS. CORALIA ILINCA LEYDERMAN (PA-C) is a healthcare provider. based in Saint louis, Missouri. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 2014025990 (MO). The NPI Number for MRS. CORALIA ILINCA LEYDERMAN (PA-C) is 1124426812

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CORALIA ILINCA LEYDERMAN (PA-C)
NPI
1124426812
Phone
(314) 577-8000
Address
3635 VISTA AVE
Enumeration Date
11 December 2014
Last Update Date
12 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3142389100
Graduation Year
2014 (12 years ago)
PAC ID
9931471901
Group Practice PAC ID
6608776299
Professional Enrollment ID
I20170825001536

Contacts

FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
cleyderman206285@direct-ehr-ssmhc.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

Provider Addresses for MRS. CORALIA ILINCA LEYDERMAN (PA-C)

  • 3635 VISTA AVE

    SAINT LOUIS, MO 631102539

    Phone: (314) 577-8000

    Type: Location

  • 3635 Vista Ave

    Saint Louis, MO 631102539

    Phone: (314) 577-8000

    Type: Location

  • 1601 WENTZVILLE PKWY STE 117

    WENTZVILLE, MO 633853814

    Phone: (636) 332-8455

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2023-02-08 • Largest payer in this snapshot: Arthrex, Inc. ($81).

Total Amount

$146

General + Research + Ownership

Payments

4

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 63110)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608776299View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify MRS. CORALIA ILINCA LEYDERMAN (PA-C) for billing?
Administrative and clinical systems typically use NPI 1124426812 for MRS. CORALIA ILINCA LEYDERMAN (PA-C).
Is MRS. CORALIA ILINCA LEYDERMAN (PA-C)'s NPI status active today?
Active status means MRS. CORALIA ILINCA LEYDERMAN (PA-C)'s NPI record is not deactivated in the public file.
What type of care does MRS. CORALIA ILINCA LEYDERMAN (PA-C) provide?
MRS. CORALIA ILINCA LEYDERMAN (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. CORALIA ILINCA LEYDERMAN (PA-C) in Saint Louis, Missouri?
For routing, start with Saint Louis, Missouri for MRS. CORALIA ILINCA LEYDERMAN (PA-C), then verify phone and hours locally.
Who maintains MRS. CORALIA ILINCA LEYDERMAN (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

MR. JEREMY D DUNBARR (P.A.)

Physician Assistant
3915 WATSON RD STE 202
NPI: 1831191014

JAMIE LYNN SHEDELBOWER (PA)

Physician Assistant
John Cochran Division - VA St. Louis Health Care System, 915, North Grand Boulevard, Covenant Blu Grand Center, City of Saint Louis, Missouri, 63106, United States
NPI: 1033115480

MR. LAWRENCE MCCLINTON (PA)

Surgical Physician Assistant
3691 RUTGER ST
NPI: 1427055961

BRYON J WITZEL (PA-C)

Physician Assistant
621, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
NPI: 1528065844

MR. JASON B GAY (PA-C)

Physician Assistant
Clayton Road, Clayton, Saint Louis County, Missouri, 63017, United States
NPI: 1518964378
1475 KISKER RD STE 200
NPI: 1245238401
THREE SAINT ELIZABETH BLVD STE 2800
NPI: 1497754634
201, Cahill Road, Branson, Taney County, Missouri, 65616, United States
NPI: 1780684753

ANDREA NICOLE THOMAS (PAC)

Physician Assistant
9476, Trillium Drive, Honeysuckle Hill, Crestwood, Saint Louis County, Missouri, 63126, United States
NPI: 1538152657