NPIMap

Individual provider Active NPI

Leon P. McLean, MD

  • Gastroenterology Physician
  • Derry, NH
National Provider Identifier
1457495806
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
NH17841 Issued in NH
Practice address
6 Tsienneto Rd Ste 301
Derry, NH 03038-1584
Phone
(603) 432-8802
Fax
(603) 432-8802
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NH17841 NH Primary

Addresses

Primary practice location

6 Tsienneto Rd Ste 301
Derry, NH 03038-1584

Mailing address

6 Tsienneto Rd Ste 301
Derry, NH 03038-1584
Phone (603) 432-8802

Other identifiers 1

IdentifierTypeStateIssuer
420209100MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20161212002066 NH Practitioner - GastroenterologyPractitioner - Internal Medicine 1951598481 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Tufts University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Granite State Gastrointestinal Consultants PLLCGroup PAC ID 8022093962, 6 clinicians

Practice addresses (Care Compare)

160 S River Rd
Suite 2300
Bedford, NH 03110-6927
Phone (603) 432-8802

49 Range Rd
Suite 109
Windham, NH 03087-2029
Phone (603) 432-8802

6 Old Fremont Rd
Raymond, NH 03077-2363
Phone (603) 432-8802

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy280
Upper gastrointestinal (GI) endoscopy for acid reflux91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NH17841NHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Androscoggin Valley Hospital, Inc. CurrentSince Jan 4, 2018 Accepting new patients
Androscoggin Valley Hospital, Inc. CurrentSince Jan 4, 2017 Accepting new patients
Androscoggin Valley Hospital Inc CurrentSince Jan 4, 2017 Accepting new patients
Granite State Gastrointestinal Consultants PLLC Gastroenterology CurrentSince Jan 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

160 S River Rd
Ste 2300
Bedford, NH 03110
Phone (603) 432-8802

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827

6 Tsienneto Rd
Ste 301
Derry, NH 03038
Phone (603) 432-8802

50 Michels Way
Londonderry, NH 03053
Phone (603) 432-8802

49 Range Rd
Ste 109
Windham, NH 03087
Phone (603) 432-8802

Interoperability endpoints

  • Direct secure messaging: leonmclean@gsgc.allscriptsdirect.net
  • Direct secure messaging: leon.mclean.1@25664.direct.athenahealth.com

Organizations & group practices 5

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 8

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1457495806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD STE 301",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-432-8802",
            "fax_number": "603-437-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD STE 301",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-432-8802",
            "fax_number": "603-432-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "LEON",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NH",
            "license": "NH17841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420209100",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.