Individual provider Active NPI

Leigh J Marvin, M.D.

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1649368275
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2006024762 Issued in MO
Practice address
6501 E Commerce Ave
Suite 110
Kansas City, MO 64120-2171
Phone
(816) 561-2105
NPI assigned
Oct 10, 2006
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-25447 KS
Family Medicine Physician 207Q00000X 55198 AZ
Family Medicine Physician 207Q00000X 21-320 WI
Family Medicine Physician 207Q00000X 10533313-1205 UT
Family Medicine Physician 207Q00000X 036144429 IL
Family Medicine Physician 207Q00000X MD-44657 IA
Family Medicine Physician 207Q00000X CDR.0000038 CO
Family Medicine Physician 207Q00000X R8421 TX
Family Medicine Physician 207Q00000X 63140 MN
Family Medicine Physician 207Q00000X 27902 WV
Family Medicine Physician 207Q00000X 25367 MS
Family Medicine Physician 207Q00000X MED-PHYS-LIC-60456 MT
Family Medicine Physician 207Q00000X 17499 NV
Family Medicine Physician 207Q00000X 11173C WY
Family Medicine Physician 207Q00000X 2006024762 MO Primary

Addresses

Primary practice location

6501 E Commerce Ave
Suite 110
Kansas City, MO 64120-2171

Mailing address

PO Box 512
Spring Hill, KS 66083-0512
Phone (913) 592-3548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040909001065 KS Practitioner - Family Practice 5799751723 Reassigns benefits to 1 organization
I20260622001449 TX Practitioner - Family Practice 5799751723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 California St
Suite 2300
San Francisco, CA 94111-3720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17499NVMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
55198AZMDFamily Medicine Physician
CDR.0000038COMDFamily Medicine Physician
MD-44657IAMDFamily Medicine Physician
036144429ILMDFamily Medicine Physician
04-25447KSMDFamily Medicine Physician
63140MNMDFamily Medicine Physician
25367MSMDFamily Medicine Physician
MED-PHYS-LIC-60456MTMDFamily Medicine Physician
R8421TXMDFamily Medicine Physician
10533313-1205UTMDFamily Medicine Physician
21-320WIMDFamily Medicine Physician
27902WVMDFamily Medicine Physician
11173CWYMDFamily Medicine Physician
115979MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals of Kansas, P.a. Family Medicine CurrentSince Apr 3, 2024 Accepting new patients
Occupational Medicine of Northwest Missouri, LLC Past Accepting new patients
The Covenant Group PA Past Accepting new patients
Central Kansas Medical Center Family Medicine Past Accepting new patients
Adult Quick Care, LLC Past Accepting new patients
Adult Quick Care, LLC Past Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

2900 SW Wanamaker Dr
Ste 204
Topeka, KS 66614
Phone (415) 742-8411

Interoperability endpoints

  • Direct secure messaging: leigh.marvin.1@30520.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1649368275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "660830512",
            "telephone_number": "913-592-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 E COMMERCE AVE",
            "address_2": "SUITE 110",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641202171",
            "telephone_number": "816-561-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVIN",
        "first_name": "LEIGH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-25447",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "55198",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "21-320",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "10533313-1205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036144429",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-44657",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDR.0000038",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R8421",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "63140",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "27902",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "25367",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-60456",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "17499",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "11173C",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2006024762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.