Individual provider Active NPI

Michael J. Leiding, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Highlands Ranch, CO
National Provider Identifier
1063447795
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
DR.0057326 Issued in CO
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

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
036109751ILMDGeriatric 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.

Verify at the official NPI Registry.