Leif A Redal, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0030471 Issued in CO

Practice address

511 Crossing Dr
Lafayette, CO 80026-2628

Phone

(303) 269-2875

Fax

(303) 269-2876

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

University of Washington School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.96 of 100Reported as group

Quality

78.58

Promoting interoperability

100

Improvement activities

40

Cost

74.61

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lredal2557343@adventhealth.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4

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.

• VMD Primary Providers Colorado, Inc

  • Primary Care Clinic/Center
  • Fort Collins, CO
  • NPI 1275646614

  Family Medicine

  Medicare reassignment NPD
• Alpine Medical Group Colorado PLLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1104501873
  NPD
• Portercare Adventist Health System

  • Otolaryngology Physician
  • Greenwood Village, CO
  • NPI 1760761928
  NPD
• Portercare Adventist Health System

  • Urology Physician
  • Lakewood, CO
  • NPI 1942165626
  NPD
• Portercare Adventist Health System

  • Sports Medicine (Internal Medicine) Physician
  • Lone Tree, CO
  • NPI 1982213419
  NPD
• Boulder Community Health

  • Medical Specialty Clinic/Center
  • Boulder, CO
  • NPI 1407685498
  NPD (past)
• Boulder Community Health

  • Multi-Specialty Clinic/Center
  • Boulder, CO
  • NPI 1609822030
  NPD (past)
• Northwest Family Medicine

  • Primary Care Clinic/Center
  • Superior, CO
  • NPI 1720084635
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1629073598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8097 HARBORVIEW RD",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982309639",
            "telephone_number": "360-371-5855",
            "fax_number": "360-371-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 CROSSING DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262628",
            "telephone_number": "303-269-2875",
            "fax_number": "303-269-2876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8097 Harborview Rd",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "WA",
            "postal_code": "982309639",
            "country_code": "US",
            "telephone_number": "360-371-5855",
            "fax_number": "360-371-5857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDAL",
        "first_name": "LEIF",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00027907",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0030471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04389832",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Ray, PHD, LPC, LAC
• Realsight Counseling, PLLC
• Michelle Reavis, MS
• Sara Ann Rector
• Red Compass Counseling PLLC
• Matthew T. Reddy, N.D.
• Meagan Reeves
• Justin E. Regan, RN
• Leslie E Reger
• Tamera Jean Reichert, R.N.

• Family Medicine Physician in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.

Verify at the official NPI Registry.