Active NPI
Benjamin J Leeah, M.D.
- Family Medicine Physician
- Amarillo, TX
National Provider Identifier
1255330940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L5020
- Practice address
- 9601 Spur 591
William P. Clements, Jr. Unit
Amarillo, TX 79107-9606 - Phone
- (806) 381-7080
- Fax
- (806) 381-0417
- NPI assigned
- Jul 15, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L5020 | TX | Primary |
Addresses
Primary practice location
9601 Spur 591
William P. Clements, Jr. Unit
Amarillo, TX 79107-9606
Mailing address
9601 Spur 591
William P. Clements, Jr. Unit
Amarillo, TX 79107-9606
Phone (806) 381-7080
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016KH | Other | TX | BCBS |
| L5020 | Other | TX | STATE MEDICAL LICENSE |
| 680574937 | Other | TX | TAX ID |
| 159401201 | Medicaid | TX | |
| 007614479 | Other | TX | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5020 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panhandle Emergency Physicians, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Amarillo, TX
- NPI 1629020870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1255330940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9601 SPUR 591",
"address_2": "WILLIAM P. CLEMENTS, JR. UNIT",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791079606",
"telephone_number": "806-381-7080",
"fax_number": "806-381-0417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 SPUR 591",
"address_2": "WILLIAM P. CLEMENTS, JR. UNIT",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791079606",
"telephone_number": "806-381-7080",
"fax_number": "806-381-0417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEEAH",
"first_name": "BENJAMIN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L5020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0016KH",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "L5020",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "680574937",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159401201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "007614479",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.