Individual provider Active NPI

Ian Keith McLeod, MD FACS

  • Otolaryngology Physician
  • Savannah, GA
National Provider Identifier
1255322145
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
74158 Issued in GA
Practice address
322 Commercial Dr Ste 2
Savannah, GA 31406
Phone
(912) 355-2335
Fax
(770) 217-3339
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 74158 GA Primary

Addresses

Primary practice location

322 Commercial Dr Ste 2
Savannah, GA 31406

Mailing address

322 Commercial Dr Ste 2
Savannah, GA 31406-3639
Phone (912) 355-2335

Other practice location 1

200 Blue Moon Xing Ste 103
Pooler, GA 31322-9698
Phone (912) 450-2336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170224000534 GA Practitioner - Otolaryngology 2860670429 Reassigns benefits to 1 organization
I20240624001450 IL Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 2860670429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Sinus Sleep and Allergy Associates, LLCGroup PAC ID 1850705096, 13 clinicians

Practice addresses (Care Compare)

3124 Veterans Memorial Dr
Mount Vernon, IL 62864-5951
Phone (618) 628-0715

Hospital & facility affiliations

  • SSM Health St Mary'S Hospital -Centralia Hospital, Centralia, IL, CCN 140034
  • Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046

Merit-based Incentive Payment System (MIPS)

Final score
75.22 of 100Reported as group
Quality
63.94
Promoting interoperability
80
Improvement activities
40
Cost
70.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74158GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Physician Group, LLC CurrentSince Nov 20, 2023 Accepting new patients
Midwest Sinus Sleep & Allergy Associates, LLC Otolaryngology CurrentSince Mar 31, 2024 Accepting new patients
ENT & Sleep Medicine Associates LLC Otolaryngology PastSince Mar 31, 2024 Accepting new patients
Coastal Ear Nose & Throat, LLC Otolaryngology PastSince Feb 1, 2017 Accepting new patients

Locations

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

4224 Lincolnshire Dr
#B
Mount Vernon, IL 62864
Phone (618) 242-0101

1179 Fortune Blvd
Shiloh, IL 62269
Phone (309) 368-8984

Interoperability endpoints

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

Organizations & group practices 4

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.

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1255322145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 COMMERCIAL DR STE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063639",
            "telephone_number": "912-355-2335",
            "fax_number": "770-217-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 COMMERCIAL DR STE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31406",
            "telephone_number": "912-355-2335",
            "fax_number": "770-217-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Blue Moon Xing Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229698",
            "country_code": "US",
            "telephone_number": "912-450-2336",
            "fax_number": "770-217-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "IAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "74158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.