Individual provider Active NPI

Ryan David Leahy, AU.D.

  • Audiologist
  • Frankfort, IN
National Provider Identifier
1053922187
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002729A Issued in IN
Practice address
1303 S Jackson St Ste a
Frankfort, IN 46041-3314
Phone
(765) 202-4221
NPI assigned
Aug 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002729A IN Primary

Addresses

Primary practice location

1303 S Jackson St Ste a
Frankfort, IN 46041-3314

Mailing address

1335 S 650 W
Delphi, IN 46923-8922
Phone (765) 202-4221

Other identifiers 1

IdentifierTypeStateIssuer
23002729AOtherINAUDIOLOGIST STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220204000682 IN Practitioner - Qualified Audiologist 8628461100 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arnett Clinic, LLC CurrentSince Nov 5, 2021 Accepting new patients
Arnett Clinic, LLC CurrentSince Nov 5, 2021 Accepting new patients
Leahy Audiology and Hearing AIDS LLC Audiologist CurrentSince Aug 13, 2024 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
Indiana University Radiology Associates, Inc. CurrentSince Nov 5, 2021 Accepting new patients

Locations

8016 Reliable Pkwy
Chicago, IL 60686

5924 Reliable Pkwy
Chicago, IL 60686

1303 S Jackson St
Frankfort, IN 46041
Phone (765) 654-8744

1303 S Jackson St
#A
Frankfort, IN 46041
Phone (765) 202-4221

1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000

2600 Greenbush St
Lafayette, IN 47904

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1053922187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 S 650 W",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469238922",
            "telephone_number": "765-202-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S JACKSON ST STE A",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460413314",
            "telephone_number": "765-202-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "RYAN",
        "middle_name": "DAVID",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002729A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGIST STATE LICENSE",
            "identifier": "23002729A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.