Individual provider Active NPI

Franklin Fraser Leddy, MD

  • Urology Physician
  • Westerly, RI
National Provider Identifier
1124014048
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
7511 Issued in RI
Practice address
35 Wells St
Westerly, RI 02891-2922
Phone
(401) 596-0964
Fax
(401) 596-8634
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 29809 CT
Urology Physician 208800000X 7511 RI Primary

Addresses

Primary practice location

35 Wells St
Westerly, RI 02891-2922

Mailing address

35 Wells St
Westerly, RI 02891-2922
Phone (401) 596-0964

Other practice location 1

365 Montauk Avenue
Faire Harbour Building, 2nd Floor, Suite 2.013
New London, CT 06320
Phone (844) 817-9171

Other identifiers 1

IdentifierTypeStateIssuer
0000205MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818001045 RI Practitioner - Urology 3870632896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Single Specialty CurrentSince Nov 1, 2018 Accepting new patients

Locations

23 Clara Dr
Mystic, CT 06355
Phone (860) 443-7907

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

365 Montauk Ave
Bldg 2ND
New London, CT 06320
Phone (844) 817-9171

35 Wells St
Westerly, RI 02891
Phone (401) 596-0964

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

Interoperability endpoints

  • Direct secure messaging: fleddy329623@direct.ynhh.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1124014048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WELLS ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912922",
            "telephone_number": "401-596-0964",
            "fax_number": "401-596-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WELLS ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912922",
            "telephone_number": "401-596-0964",
            "fax_number": "401-596-8634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Montauk Avenue",
            "address_2": "Faire Harbour Building, 2nd Floor, Suite 2.013",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "06320",
            "country_code": "US",
            "telephone_number": "844-817-9171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDDY",
        "first_name": "FRANKLIN",
        "middle_name": "FRASER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CT",
            "license": "29809",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "RI",
            "license": "7511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000205",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.