Leonard A Kolstad, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

019467 Issued in CT

Practice address

863 N Main Street Ext
Suite 200
Wallingford, CT 06492-2434

Phone

(203) 265-3280

Fax

(203) 741-6569

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Comprehensive Orthopedics & Musculoskeletal Care LLC

  • Orthopaedic Surgery Physician
  • Wallingford, CT
  • NPI 1790844330
  Medicare reassignment NPD
• Comprehensive Orthopedics & Musculoskeletal Care LLC

  • Orthopaedic Surgery Physician
  • Southington, CT
  • NPI 1821770025
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1346263456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 NORTH MAIN STREET EXT",
            "address_2": "SUITE 200",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921832",
            "telephone_number": "203-265-3280",
            "fax_number": "203-741-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 N MAIN STREET EXT",
            "address_2": "SUITE 200",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922434",
            "telephone_number": "203-265-3280",
            "fax_number": "203-741-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLSTAD",
        "first_name": "LEONARD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "019467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001194679",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlie Santine Kipperman, PT, DPT
• Aaditya Kiri, MD
• Jason Stuart Kirk, PT
• Kathleen Mary Kirwin, APRN
• Sarah Kleven
• Debbra Konopaske, PTA
• Tyler Konopka
• Judy Robin Kopman-Fried, LCSW
• Alice Kosowsky, MA MS
• Demetrios Nicolas Kostas, LCSW

• Orthopaedic Surgery Physician in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Orthopaedic Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.

Verify at the official NPI Registry.