Active NPI
Michael J. Leiding, MD
- Geriatric Medicine (Internal Medicine) Physician
- Highlands Ranch, CO
National Provider Identifier
1063447795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- DR.0057326
- Practice address
- 3235 Mill Vista Rd
Highlands Ranch, CO 80129-2440 - Phone
- (303) 876-8320
- Fax
- (888) 701-4175
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 036109751 | IL | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | DR.0057326 | CO | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | DR.0057326 | CO | Primary |
Addresses
Primary practice location
3235 Mill Vista Rd
Highlands Ranch, CO 80129-2440
Mailing address
5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (303) 876-8320
Other practice location 1
1725 W Harrison St
Suite 955
Chicago, IL 60612-3824
Phone (312) 942-7030
Other practice location 2
1725 W Harrison St
Suite 955
Chicago, IL 60612-3824
Phone (312) 942-7030
Other practice location 3
8405 W Alameda Ave
Lakewood, CO 80226-2908
Phone (720) 974-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036109751 | IL | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1063447795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 EXECUTIVE DR STE 230",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212281762",
"telephone_number": "303-876-8320",
"fax_number": "888-701-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 MILL VISTA RD",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292440",
"telephone_number": "303-876-8320",
"fax_number": "888-701-4175"
}
],
"practiceLocations": [
{
"address_1": "1725 W Harrison St",
"address_2": "Suite 955",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123824",
"country_code": "US",
"telephone_number": "312-942-7030",
"fax_number": "312-563-4212",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1725 W Harrison St",
"address_2": "Suite 955",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123824",
"country_code": "US",
"telephone_number": "312-942-7030",
"fax_number": "312-563-4212",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8405 W Alameda Ave",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "802262908",
"country_code": "US",
"telephone_number": "720-974-5400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEIDING",
"first_name": "MICHAEL",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "IL",
"license": "036109751",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "CO",
"license": "DR.0057326",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CO",
"license": "DR.0057326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.