Active NPI
Aaron Joseph Leach, MD
- Vascular & Interventional Radiology Physician
- Grand Rapids, MI
National Provider Identifier
1306429790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 4351048045
- Practice address
- 3246 N Evergreen Dr. NE
Grand Rapids, MI 49525 - Phone
- (722) 561-6459
- NPI assigned
- May 3, 2021
- 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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 4351048045 | MI | Primary |
Addresses
Primary practice location
3246 N Evergreen Dr. NE
Grand Rapids, MI 49525
Mailing address
1840 Wealthy St SE Ste 2C-250
Grand Rapids, MI 49506-2921
Phone (616) 774-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210628001906 | MI | Order and Referring Only - Interventional Radiology | 2365843406 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351047982 | MI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781395200000",
"number": "1306429790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 WEALTHY ST SE STE 2C-250",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495062921",
"telephone_number": "616-774-0101",
"fax_number": "616-267-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3246 N EVERGREEN DR. NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49525",
"telephone_number": "722-561-6459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "AARON",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-03",
"last_updated": "2026-06-14",
"certification_date": "2026-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": "4351048045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.