Individual provider Active NPI

Aaron Daniel Leis, M.D.

  • Anesthesiology Physician
  • Indianapolis, IN
National Provider Identifier
1255394862
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01058434A Issued in IN
Practice address
6032 Tybalt Dr
Indianapolis, IN 46254-5162
Phone
(317) 299-2253
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01058434A IN Primary

Addresses

Primary practice location

6032 Tybalt Dr
Indianapolis, IN 46254-5162

Mailing address

6032 Tybalt Drive
Indianapolis, IN 46254
Phone (317) 299-2253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200622002228 NC Practitioner - Anesthesiology 5395818892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allcare Clinical Associates PAGroup PAC ID 1759285943, 5 clinicians

Practice addresses (Care Compare)

34 Granby St
Asheville, NC 28801-4611
Phone (828) 225-0861

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01058434AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Jun 16, 2020 Accepting new patients
Allcare Clinical Associates, PA Anesthesiology CurrentSince Jul 8, 2020 Accepting new patients
Anesthesia Care of Bloomington PC Anesthesiology Past Accepting new patients
Monroe Physicians Group Past Accepting new patients

Locations

34 Granby St
Asheville, NC 28801
Phone (828) 225-0861

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1255394862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 TYBALT DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46254",
            "telephone_number": "317-299-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 TYBALT DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545162",
            "telephone_number": "317-299-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIS",
        "first_name": "AARON",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01058434A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.