NPIMap

Individual provider Active NPI

Sydney R Leach, M.D.

  • Emergency Medicine Physician
  • Des Moines, IA
National Provider Identifier
1336191667
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
38521 Issued in IA
Practice address
1111 6TH Ave
Des Moines, IA 50314-2613
Phone
(515) 247-3211
Fax
(515) 643-8933
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301082121 MI
Emergency Medicine Physician 207P00000X 38521 IA Primary

Addresses

Primary practice location

1111 6TH Ave
Des Moines, IA 50314-2613

Mailing address

PO Box 4925
Des Moines, IA 50305-4925
Phone (515) 247-3211

Other identifiers 1

IdentifierTypeStateIssuer
1336191667MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090819000053 IA Practitioner - Emergency Medicine 1759394661 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Wisconsin School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Des Moines River Physicians LLCGroup PAC ID 0143549634, 45 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-3121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
80.31
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38521IAMDEmergency Medicine Physician
4301082121MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center-Centerville CurrentSince May 1, 2025 Accepting new patients
Mercy Medical Center-Centerville Current Accepting new patients
Des Moines River Physicians, LLC Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
Des Moines River Physicians, LLC Emergency Medicine Current Accepting new patients
Des Moines River Physicians, LLC Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
Mercy Medical Center-Centerville CurrentSince May 1, 2025 Accepting new patients
Waterloo Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 15, 2024 Accepting new patients

Locations

1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482

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

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

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

Interoperability endpoints

  • Direct secure messaging: sleach3169469@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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 4

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1336191667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4925",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503054925",
            "telephone_number": "515-247-3211",
            "fax_number": "515-643-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142613",
            "telephone_number": "515-247-3211",
            "fax_number": "515-643-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "SYDNEY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301082121",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "38521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336191667",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.