Active NPI
Leopoldo Humberto Covarrubias, MD
- Child & Adolescent Psychiatry Physician
- Battle Creek, MI
National Provider Identifier
1295916575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- LC039110
- Practice address
- 497 E Columbia Ave
Suite 15
Battle Creek, MI 49014-5463 - Phone
- (269) 965-6406
- Fax
- (269) 965-6138
- NPI assigned
- Nov 15, 2007
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | LC039110 | MI | Primary |
Addresses
Primary practice location
497 E Columbia Ave
Suite 15
Battle Creek, MI 49014-5463
Mailing address
497 E Columbia Ave
Suite 15
Battle Creek, MI 49014-5463
Phone (269) 965-6406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01300177262 | Other | MI | MEDICARE |
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 |
|---|---|---|---|
| LC039110 | MI | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1295916575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "497 E COLUMBIA AVE",
"address_2": "SUITE 15",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490145463",
"telephone_number": "269-965-6406",
"fax_number": "269-965-6138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "497 E COLUMBIA AVE",
"address_2": "SUITE 15",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490145463",
"telephone_number": "269-965-6406",
"fax_number": "269-965-6138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVARRUBIAS",
"first_name": "LEOPOLDO",
"middle_name": "HUMBERTO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MI",
"license": "LC039110",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "01300177262",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.