Active NPI
Leder Internal Medicine Associates PC
- Internal Medicine Physician
- Denver, CO
National Provider Identifier
1124060637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LEDER INTERNAL MEDICINE ASSOCIATES PC
- Practice address
- 1325 S Colorado Blvd
Suite B306
Denver, CO 80222-3303 - Phone
- (303) 759-2985
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric H Leder, MD
- Title
- President
- Phone
- (303) 759-2985
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1325 S Colorado Blvd
Suite B306
Denver, CO 80222-3303
Mailing address
3464 S Willow St
Suite 166
Denver, CO 80231-4531
Phone (303) 755-2900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04112041 | Medicaid | CO | |
| LE11204 | Other | CO | BLUE SHIELD |
| CS2534 | Other | CO | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1325 S Colorado Blvd
Ste B306
Denver, CO 80222
Phone (303) 759-2985
3464 S Willow St
#166
Denver, CO 80231
3464 S Willow St
Ste 166
Denver, CO 80231
1400 E Hampden Ave
Ste 166
Englewood, CO 80113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193788800000",
"number": "1124060637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3464 S WILLOW ST",
"address_2": "SUITE 166",
"city": "DENVER",
"state": "CO",
"postal_code": "802314531",
"telephone_number": "303-755-2900",
"fax_number": "303-755-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 S COLORADO BLVD",
"address_2": "SUITE B306",
"city": "DENVER",
"state": "CO",
"postal_code": "802223303",
"telephone_number": "303-759-2985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEDER INTERNAL MEDICINE ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2007-10-31",
"status": "A",
"authorized_official_last_name": "LEDER",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-759-2985",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04112041",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "LE11204",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CS2534",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.