Individual provider Active NPI

Joshua C. Leonard, MD

  • Interventional Cardiology Physician
  • Jasper, IN
National Provider Identifier
1558383869
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01064692A Issued in IN
Practice address
440 Scott Rolen Dr
Jasper, IN 47546-2700
Phone
(812) 482-5656
Fax
(812) 481-1806
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01064692A IN
Interventional Cardiology Physician 207RI0011X 01064692A IN Primary
Internal Medicine Physician 207R00000X 01064692A IN

Addresses

Primary practice location

440 Scott Rolen Dr
Jasper, IN 47546-2700

Mailing address

440 Scott Rolen Dr
Jasper, IN 47546-2700
Phone (812) 482-5656

Other identifiers 2

IdentifierTypeStateIssuer
200902710MedicaidIN
5900701MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20080711000309 IN Practitioner - Cardiovascular Disease (Cardiology) 4688627474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Southern Illinois University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

303 N Meridian St
Holland Family Medicine
Holland, IN 47541-9656
Phone (812) 536-3943

440 Scott Rolen Dr
Jasper, IN 47546-2700
Phone (812) 482-5656

600 S State Rd 57 a
Memorial Health Washington
Washington, IN 47501-4371
Phone (812) 257-1052

600 S State Rd 57 B
Memorial Health Washington
Washington, IN 47501-4371
Phone (812) 674-4040

800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 996-0188

92 W Christmas Blvd
Santa Claus, IN 47579-6044
Phone (812) 937-4120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting43
Pacemaker insertion or repair53
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01064692AINMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc Internal Medicine CurrentSince May 1, 2014 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince May 1, 2014 Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Nov 1, 2025 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Nov 1, 2025 Accepting new patients
WRMC Hospital Operating Corporation Past Accepting new patients
Deaconess Memorial Medical Center Inc Past Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

440 Scott Rolen Dr
Jasper, IN 47546
Phone (812) 481-1655

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345

92 W Christmas Blvd
Santa Claus, IN 47579
Phone (812) 482-5656

600 S State Road 57
Ste B
Washington, IN 47501
Phone (812) 674-4040

Interoperability endpoints

  • Direct secure messaging: jleonard1051662@direct.deaconess.com

Organizations & group practices 8

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 11

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1558383869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SCOTT ROLEN DR",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462700",
            "telephone_number": "812-482-5656",
            "fax_number": "812-481-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SCOTT ROLEN DR",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462700",
            "telephone_number": "812-482-5656",
            "fax_number": "812-481-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "JOSHUA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01064692A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01064692A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01064692A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200902710",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900701",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.