Individual provider Active NPI

Leila Rebai, PAC, MS

  • Medical Physician Assistant
  • Springfield, MA
National Provider Identifier
1164838389
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
7479 Issued in MA
Practice address
271 Carew St
Springfield, MA 01104-2377
Phone
(413) 748-9137
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3121 CT
Medical Physician Assistant 363AM0700X 7479 MA Primary
Emergency Medicine Physician 207P00000X 7479 MA

Addresses

Primary practice location

271 Carew St
Springfield, MA 01104-2377

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Other practice location 1

471 Center St
Ludlow, MA 01056-2733
Phone (413) 625-3500

Other practice location 2

27 Suffield Street
Agawam, MA 01001
Phone (413) 264-5492

Other practice location 3

688 Bliss Road
Longmeadow, MA 01106-1534
Phone (413) 567-0011

Other practice location 4

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-0000

Other practice location 5

5 Shrewsbury Street
Ste D
Holden, MA 01520-1960
Phone (508) 829-3800

Other practice location 6

2040 Boston Road
Ste 5
Wilbraham, MA 01095-1380
Phone (413) 599-3800

Other names 1

  • Leila Ketterman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141007002002 CT Practitioner - Physician Assistant 3678793072 Reassigns benefits to 2 organizations
I20200609000144 MA Practitioner - Physician Assistant 3678793072 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

1646 Boston Post Rd
Milford, CT 06460-2776
Phone (203) 706-4219

245 Hartford Ave
Bellingham, MA 02019-3007
Phone (774) 295-4355

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977

40 Davis Straits
Falmouth, MA 02540-3906
Phone (774) 255-3010

471 Ctr St
Ludlow, MA 01056-2733
Phone (413) 625-3500

70 Gold Star Blvd
Worcester, MA 01606-2812
Phone (508) 426-9002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
7479MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Specialists PC Emergency Medicine CurrentSince Feb 20, 2025 Accepting new patients
Urgent Care Specialists PC Emergency Medicine CurrentSince Feb 20, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 5, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 5, 2025 Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

5 Shrewsbury St
Ste D
Holden, MA 01520
Phone (508) 829-3800

688 Bliss Rd
Longmeadow, MA 01106
Phone (413) 567-0011

471 Center St
Ludlow, MA 01056
Phone (413) 625-3500

2040 Boston Rd
Ste 5
Wilbraham, MA 01095
Phone (413) 599-3800

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Interoperability endpoints

  • Direct secure messaging: leila.rebai@xdr.hhchealthdirect.org
  • Direct secure messaging: lrebai2389870@direct.trinity-health.org

Organizations & group practices 9

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": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1164838389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042377",
            "telephone_number": "413-748-9137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "471 Center St",
            "address_purpose": "LOCATION",
            "city": "Ludlow",
            "state": "MA",
            "postal_code": "010562733",
            "country_code": "US",
            "telephone_number": "413-625-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27 Suffield Street",
            "address_purpose": "LOCATION",
            "city": "Agawam",
            "state": "MA",
            "postal_code": "01001",
            "country_code": "US",
            "telephone_number": "413-264-5492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "688 Bliss Road",
            "address_purpose": "LOCATION",
            "city": "Longmeadow",
            "state": "MA",
            "postal_code": "011061534",
            "country_code": "US",
            "telephone_number": "413-567-0011",
            "fax_number": "413-567-0013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Seymour St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061028000",
            "country_code": "US",
            "telephone_number": "860-972-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Shrewsbury Street",
            "address_2": "Ste D",
            "address_purpose": "LOCATION",
            "city": "Holden",
            "state": "MA",
            "postal_code": "015201960",
            "country_code": "US",
            "telephone_number": "508-829-3800",
            "fax_number": "508-829-3802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 Boston Road",
            "address_2": "Ste 5",
            "address_purpose": "LOCATION",
            "city": "Wilbraham",
            "state": "MA",
            "postal_code": "010951380",
            "country_code": "US",
            "telephone_number": "413-599-3800",
            "fax_number": "413-279-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REBAI",
        "first_name": "LEILA",
        "name_prefix": "Ms.",
        "credential": "PAC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "3121",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "7479",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "7479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEILA",
            "last_name": "KETTERMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.