NPIMap

Individual provider Active NPI

Robert Ledda, M.D.

  • Emergency Medicine Physician
  • Soldotna, AK
National Provider Identifier
1487712360
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
AK3198 Issued in AK
Practice address
250 Hospital PL
Soldotna, AK 99669-7559
Phone
(907) 714-4444
NPI assigned
Dec 5, 2006
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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 MED-PHYS-LIC-44357 MT
Emergency Medicine Physician 207P00000X AK3198 AK Primary

Addresses

Primary practice location

250 Hospital PL
Soldotna, AK 99669-7559

Mailing address

PO Box 208
Soldotna, AK 99669-0208
Phone (907) 953-0473

Other practice location 1

216 14th Ave SW
Sidney, MT 59270-3519
Phone (406) 488-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rledda635725@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, MT2 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
I20120208001031 AK Practitioner - Emergency Medicine 8527225168 Reassigns benefits to 2 organizations
I20161214002135 MT Practitioner - Emergency Medicine 8527225168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

250 Hospital PL
Soldotna, AK 99669-7559
Phone (907) 714-4515

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AK3198AKMDEmergency Medicine Physician
MED-PHYS-LIC-44357MTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Medical Imaging PLLC Current Accepting new patients
Sidney Health Center Current Accepting new patients
Brookside Medical Home Visits LLC CurrentSince Jun 1, 2023 Accepting new patients
Sidney Health Center Current Accepting new patients
Sidney Health Center CurrentSince Oct 1, 2016 Accepting new patients
Central Peninsula General Hospital Inc. Current Accepting new patients
Sidney Health Center CurrentSince Oct 1, 2016 Accepting new patients
Central Peninsula General Hospital Inc CurrentSince Jan 1, 2020 Accepting new patients
Brookside Medical Home Visits LLC CurrentSince Jun 1, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

Interoperability endpoints

  • Direct secure messaging: robert.ledda.3@28056.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1487712360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996690208",
            "telephone_number": "907-953-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HOSPITAL PL",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697559",
            "telephone_number": "907-714-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 14th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "MT",
            "postal_code": "592703519",
            "country_code": "US",
            "telephone_number": "406-488-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDDA",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-44357",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "AK3198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rledda635725@ak.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "address_1": "250 Hospital Pl",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.