Individual provider Active NPI

Mark J Leding, D.O.

  • Anesthesiology Physician
  • Clinton, IA
National Provider Identifier
1336125004
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DO-02398 Issued in IA
Practice address
1410 N. Street
Clinton, IA 52732
Phone
(563) 244-5555
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2398 IA
Anesthesiology Physician 207L00000X 036074323 IL
Anesthesiology Physician 207L00000X DO-02398 IA Primary

Addresses

Primary practice location

1410 N. Street
Clinton, IA 52732

Mailing address

3400 Dexter CT
Davenport, IA 52807-3461
Phone (563) 344-6667

Other identifiers 1

IdentifierTypeStateIssuer
036074323MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20080917000497 IA Practitioner - Anesthesiology 8022080142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Chicago College of Osteopathy, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinton Anesthesia Group, LLCGroup PAC ID 9537306394, 8 clinicians

Practice addresses (Care Compare)

1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-5555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2398IAMDAnesthesiology Physician
036074323ILMDAnesthesiology Physician
02398IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jun 2, 2025 Accepting new patients
Mercy Clinton Anesthesia Group LLC Anesthesiology CurrentSince Jan 24, 2013 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jun 2, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology Current Accepting new patients
Pain Consultants, P.C. Past Accepting new patients
Marion Hospital Corporation Anesthesiology Past Accepting new patients
Brigham Anesthesia South LLC Anesthesiology PastSince Jun 1, 2004 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

400 10th St E
Waconia, MN 55387

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1336125004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DEXTER CT",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073461",
            "telephone_number": "563-344-6667",
            "fax_number": "563-344-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N. STREET",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "52732",
            "telephone_number": "563-244-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDING",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "2398",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036074323",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "DO-02398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074323",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

Verify at the official NPI Registry.