Individual provider Active NPI

Leila Reed, PA-C

  • Physician Assistant
  • Madison, IN
National Provider Identifier
1114155579
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001084A Issued in IN
Practice address
445 Clifty Dr
Madison, IN 47250-1607
Phone
(812) 273-5372
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10001084A IN Primary

Addresses

Primary practice location

445 Clifty Dr
Madison, IN 47250-1607

Mailing address

114 Executive Dr
Suite E
Lafayette, IN 47905-4883
Phone (765) 446-0170

Other practice location 1

114 Executive Dr
Suite E
Lafayette, IN 47905-4883
Phone (765) 446-0170

Other identifiers 3

IdentifierTypeStateIssuer
300013181MedicaidIN
7100659720MedicaidKY
412840120OtherINMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090730000490 IN Practitioner - Physician Assistant 5294888764 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health and Wellness of Carmel, LLCGroup PAC ID 8022154640, 2 clinicians

Practice addresses (Care Compare)

11900 N Penn St
Carmel, IN 46032-4694
Phone (317) 663-7123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10001084AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Takoma Regional Hospital Inc Current Accepting new patients
Norton - Kings Daughters Health Inc Physician Assistant CurrentSince May 1, 2020 Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients
Lafayette Emergency Care, LLC Past Accepting new patients

Locations

6333 S East St
Indianapolis, IN 46227
Phone (317) 783-7474

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

445 Clifty Dr
Madison, IN 47250
Phone (812) 273-5372

445 E Clifty Dr
Madison, IN 47250

438 E Vann Rd
Ste 100
Greeneville, TN 37743
Phone (423) 278-1700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBFGBA/Endpoint/GBFGBA

Organizations & group practices 7

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1114155579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 EXECUTIVE DR",
            "address_2": "SUITE E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054883",
            "telephone_number": "765-446-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472501607",
            "telephone_number": "812-273-5372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Executive Dr",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054883",
            "country_code": "US",
            "telephone_number": "765-446-0170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "LEILA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001084A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300013181",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100659720",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "412840120",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.