Active NPI
Ian Keith McLeod, MD FACS
- Otolaryngology Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 74158
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170224000534 | GA | Practitioner - Otolaryngology | 2860670429 | Reassigns benefits to 1 organization |
| I20240624001450 | IL | Practitioner - Otolaryngology | 2860670429 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Sinus Sleep and Allergy Associates, LLC
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
- Good Samaritan Regional HLTH Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.22 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 74158 | GA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Physician Group, LLC | Current | Accepting new patients | |
| Midwest Sinus Sleep & Allergy Associates, LLC | Otolaryngology | Current | Accepting new patients |
| ENT & Sleep Medicine Associates LLC | Otolaryngology | Past | Accepting new patients |
| Coastal Ear Nose & Throat, LLC | Otolaryngology | Past | 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
- 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.
-
- Otolaryngology Physician
- Mount Vernon, IL
- NPI 1962000513
IL, Otolaryngology
-
- Otolaryngology Physician
- Columbia, IL
- NPI 1376853994
Otolaryngology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
Hospital
-
- General Acute Care Hospital
- Centralia, IL
- NPI 1083617245
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.