Individual provider Active NPI

Leilani Holbrook, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Air Force Academy, CO
National Provider Identifier
1528565272
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
DR.0069029 Issued in CO
Practice address
4201 Pinion Dr
Air Force Academy, CO 80840
Phone
(812) 325-0238
NPI assigned
Apr 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X DR.0069029 CO Primary

Addresses

Primary practice location

4201 Pinion Dr
Air Force Academy, CO 80840

Mailing address

4201 Pinion Dr
Air Force Academy, CO 80840
Phone (812) 325-0238

Other names 1

  • Leilani Beams Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230607002309 CO Practitioner - Pathology 3274990106

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Indiana University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Pathology Consultants PCGroup PAC ID 2264323096, shared by 2 NPIs, 8 clinicians

Practice addresses (Care Compare)

12911 W 40TH Ave
Lutheran Hospital
Wheat Ridge, CO 80401-2696
Phone (877) 701-8188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
70.25
Promoting interoperability
100
Improvement activities
40
Cost
67.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Jun 26, 2023 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Jun 26, 2023 Accepting new patients
Lutheran Hospital Association of the San Luis Valley Past Accepting new patients

Locations

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

2115 Stuart Ave
Alamosa, CO 81101
Phone (719) 589-3000

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

Organizations & group practices 3

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 5

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1528565272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 PINION DR",
            "city": "AIR FORCE ACADEMY",
            "state": "CO",
            "postal_code": "80840",
            "telephone_number": "812-325-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 PINION DR",
            "city": "AIR FORCE ACADEMY",
            "state": "CO",
            "postal_code": "80840",
            "telephone_number": "812-325-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "LEILANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "DR.0069029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEILANI",
            "last_name": "BEAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Air Force Academy, CO

Sources for this page

Verify at the official NPI Registry.