Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Trey Michael Leiva

Individual provider Physician Assistant · NPI 1508432162

Trey Michael Leiva is a Physician Assistant in Baton Rouge, Louisiana. Qualified in 2021, 5 years ago. Practices with Mayfair Physician Services, LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
5
Licensed in
LA
In the registry since
2021

Practice location Address checks out

8080 Bluebonnet Blvd Ste 1000
Baton Rouge, LA 70810-7827
Phone: (225) 924-2424
Fax: (225) 408-7980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 327290 (LA)

Record details

NPI number1508432162
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2021
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mayfair Physician Services, Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Baton Rouge