Active NPI
Kati L McLeod, P.A.
- Surgical Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 085005565
- Practice address
- 15022 N 20TH PL
Phoenix, AZ 85022-4049 - Phone
- (928) 853-7227
- NPI assigned
- Feb 22, 2012
- Last updated
- Sep 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5060 | AZ | |
| Physician Assistant | 363A00000X | 3353 | CO | |
| Surgical Physician Assistant | 363AS0400X | 085005565 | IL | Primary |
Addresses
Primary practice location
15022 N 20TH PL
Phoenix, AZ 85022-4049
Mailing address
2650 Warrenville Rd
Suite 280
Downers Grove, IL 60515-1748
Phone (630) 324-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1818 N Ogden St
Suite 400
Denver, CO 80218-1280
Phone (303) 318-2460
8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3353 | CO | MD | Mental Health Counselor |
| 5060 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Cardiac Surgery Associates SC | Past | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Past | Accepting new patients |
Locations
1818 N Ogden St
Ste 400
Denver, CO 80218
Phone (303) 318-2440
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
dba Orthopedic Centers of Colorado - Saint Joseph
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
dba Intermountain Health Heart & Vascular - Northglenn Clinic
- Cardiovascular Disease Physician
- Northglenn, CO
- NPI 1932713153
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Downers Grove, IL
- NPI 1043269160
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SCL Health Saint Joseph ED Littleton
- General Acute Care Hospital
- Littleton, CO
- NPI 1164071296
-
dba Saint Joseph Hospital
- General Acute Care Hospital
- Denver, CO
- NPI 1417946021
-
dba SCL Health Saint Joseph ED Northglenn
- General Acute Care Hospital
- Northglenn, CO
- NPI 1427607464
-
dba SCL Health Saint Joseph ED Aurora
- General Acute Care Hospital
- Aurora, CO
- NPI 1619526746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1518230499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 WARRENVILLE RD",
"address_2": "SUITE 280",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151748",
"telephone_number": "630-324-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15022 N 20TH PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850224049",
"telephone_number": "928-853-7227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "KATI",
"middle_name": "L",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-22",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "5060",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "3353",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IL",
"license": "085005565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.