Active NPI
Leanna Jean Travis
- Geriatric Medicine (Internal Medicine) Physician
- Boston, MA
National Provider Identifier
1699415596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 1025956
- Practice address
- 725 Albany St Ste 7a
Boston, MA 02118-3549 - Phone
- (617) 414-4639
- NPI assigned
- Mar 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 1025956 | MA | Primary |
Addresses
Primary practice location
725 Albany St Ste 7a
Boston, MA 02118-3549
Mailing address
960 Massachusetts Ave Ste 2
Boston, MA 02118-2690
Other practice location 1
780 Albany St
Boston, MA 02118-2755
Phone (857) 654-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110190523A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260611003237 | MA | Practitioner - Geriatric Medicine | 0446626717 |
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Warren Alpert Medical School of Brown University, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
780 Albany St
Boston, MA 02118-2755
960 Massachusetts Ave
Suite 2
Boston, MA 02118-2620
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1025956 | MA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients |
Locations
960 Massachusetts Ave
Ste 2
Boston, MA 02118
Interoperability endpoints
- ltravis246884@direct.bmc.masshiway.net
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1699415596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE STE 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 ALBANY ST STE 7A",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183549",
"telephone_number": "617-414-4639"
}
],
"practiceLocations": [
{
"address_1": "780 Albany St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182755",
"country_code": "US",
"telephone_number": "857-654-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAVIS",
"first_name": "LEANNA",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-30",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MA",
"license": "1025956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110190523A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.