Joanne M Leahy-Auer, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036075476 Issued in IL

Practice address

300 Riverside Dr Ste 2400
Bourbonnais, IL 60914-5068

Phone

(815) 935-4907

Fax

(815) 935-1723

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jleahyauer7371@direct.riversidehealthcare.net

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.

• Riverside Health System

  • General Practice Physician
  • Kankakee, IL
  • NPI 1417061193
  Medicare reassignment NPD
• Riverside Health System

  • Psychiatry Physician
  • Kankakee, IL
  • NPI 1336354430
  NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1548369317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RIVERSIDE DR STE 2400",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609145068",
            "telephone_number": "815-935-4907",
            "fax_number": "815-935-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RIVERSIDE DR STE 2400",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609145068",
            "telephone_number": "815-935-4907",
            "fax_number": "815-935-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY-AUER",
        "first_name": "JOANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036075476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036075476",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jleahyauer7371@Direct.riversidehealthcare.net",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 Riverside Dr Ste 2400",
            "city": "Bourbonnais",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609145068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Latocha, MA
• Laureate Bourbonnais Operations LLC
• Laureate Kankakee Operations LLC
• Lavender Hope, PLLC
• LB Counseling and Consulting, LLC
• Jerry Joseph Lebeda Jr., DDS
• Diana Lebran
• Jacob Daniel Ledesma, PT, DPT
• Julie Leidecker, PT
• Faith Leonard

• Pediatrics Physician in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.