Organization Active NPI

Adl Medical LLC

  • Certified Registered Nurse Anesthetist
  • Bryant, AR
National Provider Identifier
1023820743
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ADL MEDICAL LLC
Practice address
408 Office Park Dr Ste 3
Bryant, AR 72022-7536
Phone
(501) 553-0000
NPI assigned
Jan 21, 2025
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aaron Leddy, CRNANPI 1346756335
Title
President
Phone
(817) 938-3919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

408 Office Park Dr Ste 3
Bryant, AR 72022-7536

Mailing address

PO Box 570
Lake Forest, IL 60045-0570
Phone (888) 987-1489

Other practice location 1

6802 S Olympia Ave Ste 300
Tulsa, OK 74132-1826
Phone (918) 749-0762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250620001787 AR Part B Supplier - Clinic/Group Practice 0749792315 Receives reassigned benefits from 1 practitioner
Practice locations: Bryant, AR
O20250701002807 OK Part B Supplier - Clinic/Group Practice 0749792315 Receives reassigned benefits from 2 practitioners
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1023820743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600450570",
            "telephone_number": "888-987-1489",
            "fax_number": "224-255-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 OFFICE PARK DR STE 3",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227536",
            "telephone_number": "501-553-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6802 S Olympia Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741321826",
            "country_code": "US",
            "telephone_number": "918-749-0762",
            "fax_number": "918-744-4246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "LEDDY",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-938-3919",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.