Micah James Leestma, D.O.
Individual provider Active NPI Family Medicine Physician · Demotte, IN
NPI 1013201623 · NPPES record last updated Apr 23, 2025
Key facts
- NPI
- 1013201623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02004123A (IN)
- Practice address
- 519 N Halleck St
Demotte, IN 46310-9553 - Phone
- (219) 987-7750
- Fax
- (219) 987-5750
- NPI assigned
- Jun 1, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Leestma Medical Clinic, Inc
Practice addresses (Care Compare)
519 N Halleck
De Motte, IN 46310-9553
519 N Halleck St
Demotte, IN 46310-9553
Phone (219) 987-7750
Hospital & facility affiliations
- Clinical Home Health Care
- Franciscan Home Care
- Elara Caring
- Accentcare Home Health of Indiana
- Northwestern Medicine Central Dupage Hospital
- Pinnacle Hospital
- Franciscan Health Crown Point
- Franciscan Health Rensselaer, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140805001419 | IN | Practitioner - Family Practice | 9133342462 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leestma Medical Clinic, Inc | Family Medicine | Current |
Accepting new patients |
Locations
9855 Lincoln Plaza Way
Unit 5A
Cedar Lake, IN 46303
9855 Lincoln Plaza Way
Ste 5A
Cedar Lake, IN 46303
519 N Halleck St
Demotte, IN 46310
Phone (219) 228-4200
Interoperability endpoints
- https://api.platform.athenahealth.com/21537/brand/1/csg/1/fhir/r4
- micah.leestma.1@21537.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02004123A | IN | Yes |
Addresses
Primary practice location
519 N Halleck St
Demotte, IN 46310-9553
Mailing address
519 N Halleck St
Demotte, IN 46310-9553
Phone (219) 987-7750
Other providers in Demotte, IN
- Laura Louise Langel
- Larry W. Pampel D.D.S., Inc.
- Leestma Medical Clinic, Inc
- Adam Leestma
- Eric J Leestma
- Cheryle Rae Lewandowski
- Little Green Thumbs ABA LLC
- Daron Keith Lynch
- Major Hospital
- Maria Elena Marania
All providers in Demotte, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.