Active NPI
Megan Aileen Leivant, M.D.
- Internal Medicine Physician
- Carmel, IN
National Provider Identifier
1083886204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01068687A
- Practice address
- 13296 Freehold CT
Carmel, IN 46032 - Phone
- (773) 450-8780
- NPI assigned
- Mar 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036.119622 | IL | |
| Internal Medicine Physician | 207R00000X | 01068687A | IN | Primary |
Addresses
Primary practice location
13296 Freehold CT
Carmel, IN 46032
Mailing address
13296 Freehold CT
Carmel, IN 46032-8230
Phone (773) 450-8780
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01405425 | Other | IN | MEDICARE RR |
| 201001950 | Medicaid | IN |
Other names 1
- Megan Aileen Horine
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 |
|---|---|---|---|
| 036.119622 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Interoperability endpoints
- mleivant129226@ecommunitydirect.com
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1083886204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13296 FREEHOLD CT",
"city": "CARMEL",
"state": "IN",
"postal_code": "460328230",
"telephone_number": "773-450-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13296 FREEHOLD CT",
"city": "CARMEL",
"state": "IN",
"postal_code": "46032",
"telephone_number": "773-450-8780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIVANT",
"first_name": "MEGAN",
"middle_name": "AILEEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.119622",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01068687A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P01405425",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201001950",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "HORINE",
"middle_name": "AILEEN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.