Active NPI
Michael Douglas Leahy, MD
- Internal Medicine Physician
- Powell, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 08526
- Practice address
- 7744 Conner Road
Powell, TN 37849 - Phone
- (865) 546-9751
- Fax
- (865) 362-6681
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 08526 | TN | Primary |
Addresses
Primary practice location
7744 Conner Road
Powell, TN 37849
Mailing address
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909-2604
Phone (865) 584-4747
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3165021 | Medicaid | TN | |
| 110098565 | Other | TN | RR MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
603 E Emory Rd
Suite 105
Powell, TN 37849-3567
Phone (865) 859-7350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knoxville Hma Physician Management, LLC | Internal Medicine | Current | Accepting new patients |
| Summit Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
| Summit Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
Locations
10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
7557 Dannaher Dr
Ste G15
Powell, TN 37849
Phone (865) 859-7377
7744 Conner Rd
Powell, TN 37849
Phone (865) 546-9751
603 E Emory Rd
Ste 105
Powell, TN 37849
Phone (865) 859-7350
Interoperability endpoints
- https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
- michael.leahy.1@4694.direct.athenahealth.com
Organizations & group practices 3
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.
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- NPI 1629356969
Internal Medicine
-
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- Brentwood, TN
- NPI 1659090298
-
- Internal Medicine Physician
- Lenoir City, TN
- NPI 1407293293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476057600000",
"number": "1285678607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 E WEISGARBER RD",
"address_2": "STE 200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092604",
"telephone_number": "865-584-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7744 CONNER ROAD",
"city": "POWELL",
"state": "TN",
"postal_code": "37849",
"telephone_number": "865-546-9751",
"fax_number": "865-362-6681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAHY",
"first_name": "MICHAEL",
"middle_name": "DOUGLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2016-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "08526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3165021",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "110098565",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Powell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.