DR. MARK-NEIL LEDESMA (M.D.) – Anesthesiology Physician, NPI 1003174897

DR. MARK-NEIL LEDESMA (M.D.) is a healthcare provider. based in Long branch, New Jersey. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. A132913 (CA). The NPI Number for DR. MARK-NEIL LEDESMA (M.D.) is 1003174897

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK-NEIL LEDESMA (M.D.)
NPI
1003174897
Phone
(951) 764-2928
Address
300 2nd Ave
Enumeration Date
30 April 2012
Last Update Date
26 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9516771111
Graduation Year
2012 (14 years ago)
PAC ID
8820354285
Group Practice PAC ID
7012355423
Professional Enrollment ID
I20171117001994
Address ID
CA925959681WI36485DRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,668 ANESTHESIOLOGY in NJ

Provider Addresses for DR. MARK-NEIL LEDESMA (M.D.)

  • 300 2nd Ave

    Long Branch, NJ 077406303

    Phone: (951) 764-2928

    Type: Location

  • 40136 VILLAGE RD APT 1824

    TEMECULA, CA 925913537

    Phone: (951) 764-2928

    Type: Mailing

  • 31700 TEMECULA PKWY

    TEMECULA, CA 925925896

    Phone: (801) 432-2600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171117001994IAnesthesiologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 07740)

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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: 7012355423View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YLA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YPA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YTN
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

What is the registry number for DR. MARK-NEIL LEDESMA (M.D.)?
The registry entry for DR. MARK-NEIL LEDESMA (M.D.) shows NPI 1003174897.
Should I treat DR. MARK-NEIL LEDESMA (M.D.) as an active provider?
Patients and plans typically see DR. MARK-NEIL LEDESMA (M.D.) as active in the national extract.
What does the directory say DR. MARK-NEIL LEDESMA (M.D.) does?
Insurance directories may phrase it differently, but here DR. MARK-NEIL LEDESMA (M.D.) maps to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MARK-NEIL LEDESMA (M.D.) in Long Branch, New Jersey?
For routing, start with Long Branch, New Jersey for DR. MARK-NEIL LEDESMA (M.D.), then verify phone and hours locally.
Who maintains DR. MARK-NEIL LEDESMA (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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