Individual provider Active NPI

Joseph Leary, D.O

  • Emergency Medicine Physician
  • Cambridge, MA
National Provider Identifier
1215356902
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101028918 Issued in MI
Practice address
1493 Cambridge St
Cambridge, MA 02139-1047
Phone
(617) 665-2113
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 02005111A IN
Emergency Medicine Physician 207P00000X 5101028918 MI Primary
Emergency Medicine Physician 207P00000X DR.0061190 CO
Emergency Medicine Physician 207P00000X FL7837896 MA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1493 Cambridge St
Cambridge, MA 02139-1047

Mailing address

10 Glassworks Ave Apt 106
Cambridge, MA 02141-4103
Phone (574) 210-3775

Other practice location 1

5675 Winthrop Dr
Erie, PA 16506-1142
Phone (574) 210-3775

Other practice location 2

750 Hospital Loop
Craig, CO 81625
Phone (970) 826-3100

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ttsegha@chaliance.org Other
Direct Messaging Address ttsegha@challiance.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, VI, MA, DC, MD, MI6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20170921002370 IN Practitioner - Emergency Medicine 5294023602 Reassigns benefits to 2 organizations
I20200805001423 VI Practitioner - Emergency Medicine 5294023602 Reassigns benefits to 1 organization
I20210120002536 MA Practitioner - Emergency Medicine 5294023602 Reassigns benefits to 2 organizations
I20241217004063 DC Practitioner - Emergency Medicine 5294023602 Reassigns benefits to 1 organization
I20250221000701 MD Practitioner - Emergency Medicine 5294023602 Reassigns benefits to 1 organization
I20251201000070 MI Practitioner - Emergency Medicine 5294023602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, shared by 36 NPIs, 300 clinicians
Cep America LLCGroup PAC ID 6608056171, shared by 18 NPIs, 995 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960

228 7TH St SE
Washington, DC 20003-4306
Phone (202) 698-0795

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

600 E Blvd
Elkhart, IN 46514-2483
Phone (574) 294-2621

6401 America Blvd
Hyattsville, MD 20782-2357
Phone (301) 276-8800

701 S Health Pkwy
Three Rivers, MI 49093-8352
Phone (269) 278-1145

Hospital & facility affiliations

  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018
  • Three Rivers Health Hospital, Three Rivers, MI, CCN 230015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0061190COMDEmergency Medicine Physician
FL7837896MAMDEmergency Medicine Physician
5101028918MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care, LLC CurrentSince Dec 1, 2024 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2024 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Cambridge Public Health Commission CurrentSince Dec 1, 2020 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Nov 15, 2025 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
South Bend Emergency Physicians, Inc Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Emergency Medicine CurrentSince Mar 22, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

3007 Tilden St NW
Ste 5N
Washington, DC 20008

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

3220 Beacon Pkwy
Granger, IN 46530
Phone (574) 647-8788

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1215356902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GLASSWORKS AVE APT 106",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021414103",
            "telephone_number": "574-210-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391047",
            "telephone_number": "617-665-2113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5675 Winthrop Dr",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165061142",
            "country_code": "US",
            "telephone_number": "574-210-3775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Hospital Loop",
            "address_purpose": "LOCATION",
            "city": "Craig",
            "state": "CO",
            "postal_code": "81625",
            "country_code": "US",
            "telephone_number": "970-826-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEARY",
        "first_name": "JOSEPH",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02005111A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101028918",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0061190",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "FL7837896",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttsegha@chaliance.org",
            "affiliation": "N",
            "endpointDescription": "Work Administrator Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "work communication",
            "address_1": "1493 Cambridge St",
            "city": "Cambridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021391047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttsegha@challiance.org",
            "affiliation": "N",
            "endpointDescription": "Administrator's contact information",
            "address_1": "1493 Cambridge St",
            "city": "Cambridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021391047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.