Active NPI
Todd A Leonard, MD
- Family Medicine Physician
- Sartell, MN
National Provider Identifier
1740221829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39822
- Practice address
- 1908 Kruchten CT S
Sartell, MN 56377-4645 - Phone
- (320) 774-1080
- Fax
- (320) 774-1083
- NPI assigned
- Jun 9, 2006
- Last updated
- Apr 15, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39822 | MN | Primary |
Addresses
Primary practice location
1908 Kruchten CT S
Sartell, MN 56377-4645
Mailing address
1908 Kruchten CT S
Sartell, MN 56377-4645
Phone (320) 774-1080
Other practice location 1
724 19th Ave N
South St Paul, MN 55075-1301
Phone (651) 232-6348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4510525900 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ilko Family Medicine PA | Family Medicine | Past | Accepting new patients |
| Healtheast St. John's Hospital | Past | Accepting new patients | |
| St Paul Allergy & Asthma Clinic P.a. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/9801/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/EJBIAD
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Sartell, MN
- NPI 1992390561
-
dba Fairview St John's Hospital
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
- Family Medicine Physician
- Woodbury, MN
- NPI 1124281571
-
- Allergy & Immunology Physician
- Saint Paul, MN
- NPI 1952401804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1740221829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 KRUCHTEN CT S",
"city": "SARTELL",
"state": "MN",
"postal_code": "563774645",
"telephone_number": "320-774-1080",
"fax_number": "320-774-1083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 KRUCHTEN CT S",
"city": "SARTELL",
"state": "MN",
"postal_code": "563774645",
"telephone_number": "320-774-1080",
"fax_number": "320-774-1083"
}
],
"practiceLocations": [
{
"address_1": "724 19th Ave N",
"address_purpose": "LOCATION",
"city": "South St Paul",
"state": "MN",
"postal_code": "550751301",
"country_code": "US",
"telephone_number": "651-232-6348",
"fax_number": "651-232-6127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEONARD",
"first_name": "TODD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "39822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4510525900",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sartell, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.