NPIMap

Individual provider Active NPI

Johnathan K Leck, MD

  • Family Medicine Physician
  • Atchison, KS
National Provider Identifier
1720428246
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-37513 Issued in KS
Practice address
800 Ravenhill Dr Ste 100&107
Atchison, KS 66002-9204
Phone
(913) 367-6671
Fax
(913) 367-7297
NPI assigned
Jun 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-37513 KS Primary

Addresses

Primary practice location

800 Ravenhill Dr Ste 100&107
Atchison, KS 66002-9204

Mailing address

810 Raven Hill Drive
Atchison, KS 66002
Phone (913) 367-6671

Other practice location 1

800 Raven Hill Drive
Atchison, KS 66002
Phone (913) 367-6671

Other practice location 2

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

Other identifiers 4

IdentifierTypeStateIssuer
016289044OtherKSPTAN
30004453770001MedicaidKS
10029780300MedicaidNE
47055301100MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150526002379 KS Practitioner - Family Practice 9032349428 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7051NEMDSocial Worker
04-37513KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawatha Hospital Association Inc CurrentSince Jan 10, 2025 Accepting new patients
Hiawatha Hospital Association Inc Family Medicine CurrentSince Jan 10, 2025 Accepting new patients
Amberwell Atchison Association CurrentSince Mar 8, 2015 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Oct 1, 2025 Accepting new patients
Amberwell Atchison Association Family Medicine Current Accepting new patients
Amberwell Atchison Association CurrentSince Mar 8, 2015 Accepting new patients
Amberwell Atchison Association Past Accepting new patients
Medicalodges, Inc. Past Accepting new patients
Amberwell Atchison Association Past Accepting new patients
Amberwell Atchison Association Past Accepting new patients
Amberwell Atchison Association Past Accepting new patients
Dooley Center, Inc. Past Accepting new patients

Locations

800 Ravenhill Dr
Ste 100107
Atchison, KS 66002
Phone (913) 367-2131

800 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-2131

800 Ravenhill Dr
Ste 100
Atchison, KS 66002
Phone (913) 360-5398

810 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-7300

801 Atchison St
Atchison, KS 66002
Phone (913) 367-5020

300 Utah St
Hiawatha, KS 66434
Phone (785) 742-6286

300 Utah St
Ste 200
Hiawatha, KS 66434
Phone (785) 742-2161

300 Utah St
Fl 2
Hiawatha, KS 66434
Phone (785) 742-2161

1903 Euclid Ave
Horton, KS 66439
Phone (785) 486-2468

1004 Progress Dr
Ste 180
Lansing, KS 66043
Phone (913) 297-3125

311 W Locust St
Troy, KS 66087
Phone (785) 985-3504

Interoperability endpoints

  • Direct secure messaging: johnathan.leck@khindirect.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLC 1,935 clinicians
Amberwell Atchison Association 54 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

311 W Locust St
Troy, KS 66087-5252
Phone (913) 367-7300

800 Ravenhill Dr
Atchison, KS 66002-9204

Hospital & facility affiliations

  • Amberwell Health at Home Home health agency, Atchison, KS, CCN 177181
  • St Croix Hospice Hospice, Topeka, KS, CCN 171551
  • Amberwell Hospice Hospice, Atchison, KS, CCN 171516
  • Amberwell Atchison Association Hospital, Atchison, KS, CCN 171382
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
  • Hiawatha Community Hospital Hospital, Hiawatha, KS, CCN 171341
  • Medicalodges Atchison Nursing home, Atchison, KS, CCN 175141
  • Atchison Senior Village Rehabilitation and Nursing Nursing home, Atchison, KS, CCN 175531

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1720428246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 RAVEN HILL DRIVE",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "66002",
            "telephone_number": "913-367-6671",
            "fax_number": "913-367-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RAVENHILL DR STE 100&107",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660029204",
            "telephone_number": "913-367-6671",
            "fax_number": "913-367-7297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Raven Hill Drive",
            "address_purpose": "LOCATION",
            "city": "Atchison",
            "state": "KS",
            "postal_code": "66002",
            "country_code": "US",
            "telephone_number": "913-367-6671",
            "fax_number": "913-674-2023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Utah St",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342326",
            "country_code": "US",
            "telephone_number": "785-742-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LECK",
        "first_name": "JOHNATHAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-37513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "016289044",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004453770001",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10029780300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055301100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atchison, KS

Sources for this page

Verify at the official NPI Registry.