NPIMap

Individual provider Active NPI

Leigh R. Anderson, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Everett, WA
National Provider Identifier
1376660472
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD60460535 Issued in WA
Practice address
12728 19TH Ave SE Ste 200
Everett, WA 98208
Phone
(425) 252-1116
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60460535 WA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 12373 NV
Pulmonary Disease Physician 207RP1001X MD60460535 WA
Pulmonary Disease Physician 207RP1001X 12373 NV
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD60460535 WA Primary

Addresses

Primary practice location

12728 19TH Ave SE Ste 200
Everett, WA 98208

Mailing address

1728 W Marine View Dr Ste 110
Everett, WA 98201-2094
Phone (425) 259-4041

Other identifiers 1

IdentifierTypeStateIssuer
12015525OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070810000497 NV Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 3678664232 Reassigns benefits to 1 organization
I20140908000371 WA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3678664232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
University of Nevada School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4000

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019
  • Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313
  • Banner Lassen Medical Center Hospital, Susanville, CA, CCN 051320

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60460535WAMDCritical Care Medicine (Internal Medicine) Physician
12373NVMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC Internal Medicine CurrentSince Sep 6, 2016 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Aug 6, 2014 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Aug 6, 2014 Accepting new patients
Community Care Services LLC CurrentSince Sep 6, 2016 Accepting new patients
Community Care Services LLC Past Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients
Providence Health & Services-Wa Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Community Care Services LLC Critical Care Medicine Past Accepting new patients

Locations

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

10085 Double R Blvd
Ste 310
Reno, NV 89521
Phone (775) 324-2234

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

1664 N Virginia St
Reno, NV 89557
Phone (775) 784-1110

1495 Mill St
Reno, NV 89502
Phone (775) 982-3500

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

Interoperability endpoints

  • Direct secure messaging: landerson2003@direct.renown.org

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 6

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1376660472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 W MARINE VIEW DR STE 110",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012094",
            "telephone_number": "425-259-4041",
            "fax_number": "252-526-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12728 19TH AVE SE STE 200",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98208",
            "telephone_number": "425-252-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LEIGH",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60460535",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NV",
            "license": "12373",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD60460535",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NV",
            "license": "12373",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD60460535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12015525",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.