Individual provider Active NPI

Carla McLeod

  • Obstetrics & Gynecology Physician
  • Middletown, CT
National Provider Identifier
1669424248
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
042437 Issued in CT
Practice address
49 Crescent St
Middletown, CT 06457-3601
Phone
(860) 344-9993
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 042437 CT Primary

Addresses

Primary practice location

49 Crescent St
Middletown, CT 06457-3601

Mailing address

199 Cariati Blvd
Meriden, CT 06451-3683
Phone (860) 344-9993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20040812001187 CT Practitioner - Obstetrics/Gynecology 9133192727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

435 Lewis Ave
Suite 212
Meriden, CT 06451-2101
Phone (203) 238-0519

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042437CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care, Inc CurrentSince Dec 2, 2022 Accepting new patients
Physicians for Women'S Health LLC Obstetrics & Gynecology CurrentSince Aug 2, 2004 Accepting new patients
MHS Primary Care Inc CurrentSince Dec 2, 2022 Accepting new patients

Locations

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

1291 Boston Post Rd
Ste 105
Madison, CT 06443
Phone (203) 245-1413

14 Jones Hollow Rd
Ste 2
Marlborough, CT 06447

49 Crescent St
Middletown, CT 06457
Phone (860) 344-9993

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

Interoperability endpoints

  • Direct secure messaging: cmcleod18505@middlesexhealthprd.direct-ci.com
  • Direct secure messaging: carla.mcleod.1@10170.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1669424248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 CARIATI BLVD",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064513683",
            "telephone_number": "860-344-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573601",
            "telephone_number": "860-344-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "CARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "042437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.