Individual provider Active NPI

Leila Elysee-Mitton

  • Family Medicine Physician
  • Springfield, MA
National Provider Identifier
1508599044
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1023970 Issued in MA
Practice address
3400B Main St
Springfield, MA 01107-1156
Phone
(413) 794-8777
NPI assigned
Jul 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125080378 IL
Family Medicine Physician 207Q00000X 1023970 MA Primary

Addresses

Primary practice location

3400B Main St
Springfield, MA 01107-1156

Mailing address

3400B Main St
Springfield, MA 01107-1156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20250728002739 MA Practitioner - Family Practice 3375925332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

3400 Main St
Springfield, MA 01107-1113
Phone (413) 794-9560

Hospital & facility affiliations

  • Encompass Health Home Health Home health agency, Ludlow, MA, CCN 227611
  • Caretenders Home health agency, Holyoke, MA, CCN 227584
  • Amedisys Home Health Care Home health agency, Agawam, MA, CCN 227288
  • Elara Caring Home health agency, Braintree, MA, CCN 227475
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Baystate Wing Hospital Hospital, Palmer, MA, CCN 220030
  • Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc CurrentSince Jul 17, 2025 Accepting new patients

Locations

3400 Main St
Ste B
Springfield, MA 01107
Phone (413) 794-8777

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

3400 Main St
Springfield, MA 01107
Phone (413) 794-8777

Organizations & group practices 1

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": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1508599044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400B MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400B MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071156",
            "telephone_number": "413-794-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELYSEE-MITTON",
        "first_name": "LEILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125080378",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "1023970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.