Individual provider Active NPI

Lori A Leopold, D.O.

  • Family Medicine Physician
  • Littleton, CO
National Provider Identifier
1366412876
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CDRH.0041943 Issued in CO
Practice address
6179 S Balsam Way
Suite #110
Littleton, CO 80123-3091
Phone
(303) 948-1570
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S2390 TX
Family Medicine Physician 207Q00000X 007486 AZ
Family Medicine Physician 207Q00000X MED-PHYS-LIC-66302 MT
Family Medicine Physician 207Q00000X A-2152-18 NM
Family Medicine Physician 207Q00000X 10823 SD
Family Medicine Physician 207Q00000X 036145321 IL
Family Medicine Physician 207Q00000X OP60820743 WA
Family Medicine Physician 207Q00000X 11407C WY
Family Medicine Physician 207Q00000X OC-0012 ID
Family Medicine Physician 207Q00000X 14-321 WI
Family Medicine Physician 207Q00000X 20A16244 CA
Family Medicine Physician 207Q00000X DO2337 NV
Family Medicine Physician 207Q00000X 63434 MN
Family Medicine Physician 207Q00000X DO191682 OR
Family Medicine Physician 207Q00000X CDRH.0041943 CO Primary

Addresses

Primary practice location

6179 S Balsam Way
Suite #110
Littleton, CO 80123-3091

Mailing address

6179 S Balsam Way
Suite #110
Littleton, CO 80123-3091
Phone (303) 948-1570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20031105000325 CO Practitioner - Family Practice 4688586860 Reassigns benefits to 1 organization
I20250806002677 AZ Practitioner - Family Practice 4688586860 Reassigns benefits to 1 organization
I20251203002858 OR Practitioner - Family Practice 4688586860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 California St
Suite 2300
San Francisco, CA 94111-3720

1 California St
Suite 2300
San Francisco, CA 94111-5424

Hospital & facility affiliations

  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A16244CAMDFamily Medicine Physician
OC-0012IDMDFamily Medicine Physician
036145321ILMDFamily Medicine Physician
63434MNMDFamily Medicine Physician
MED-PHYS-LIC-66302MTMDFamily Medicine Physician
A-2152-18NMMDFamily Medicine Physician
DO2337NVMDFamily Medicine Physician
DO191682ORMDFamily Medicine Physician
10823SDMDFamily Medicine Physician
OP60820743WAMDFamily Medicine Physician
14-321WIMDFamily Medicine Physician
11407CWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
Doctor on Demand Professionals P C Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Portercare Adventist Health System CurrentSince Jan 1, 2008 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Inpatient Consultants of Colorado PC Family Medicine Past Accepting new patients
Inpatient Consultants of Colorado, PC Family Medicine Past Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm Past Accepting new patients
San Carlos Apache Healthcare Corporation Past Accepting new patients

Locations

8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

275 Battery St
Ste 650
San Francisco, CA 94111
Phone 4155043838104

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

1900 W Littleton Blvd
Littleton, CO 80120
Phone 41550438389238

1127 Broadway St NE
Ste 310
Salem, OR 97301

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

Interoperability endpoints

  • Direct secure messaging: lori.leopold.1@30520.direct.athenahealth.com

Organizations & group practices 9

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 2

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1366412876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6179 S BALSAM WAY",
            "address_2": "SUITE #110",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233091",
            "telephone_number": "303-948-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6179 S BALSAM WAY",
            "address_2": "SUITE #110",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233091",
            "telephone_number": "303-948-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOPOLD",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S2390",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "007486",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-66302",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-2152-18",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "10823",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036145321",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60820743",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "11407C",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "OC-0012",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "14-321",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A16244",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2337",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "63434",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO191682",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDRH.0041943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.