Individual provider Active NPI

Leonard John Pittala, DO

  • General Practice Physician
  • Columbia, MO
National Provider Identifier
1750351888
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
R6A65 Issued in MO
Practice address
2101 Corona Rd
Ste 102
Columbia, MO 65203-2582
Phone
(573) 234-1800
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R6A65 MO
General Practice Physician 208D00000X 76-00002 KS
General Practice Physician 208D00000X R6A65 MO Primary

Addresses

Primary practice location

2101 Corona Rd
Ste 102
Columbia, MO 65203-2582

Mailing address

2101 Corona Rd
Ste 102
Columbia, MO 65203-2582
Phone (573) 234-1800

Other identifiers 2

IdentifierTypeStateIssuer
241705904MedicaidMO
09731015OtherMOBCBS OF KANSAS CITY INDIV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20211230000928 MO Practitioner - Pediatric MedicinePractitioner - Geriatric Medicine 8527459510 Reassigns benefits to 4 organizations
I20220407001787 KS Practitioner - General Practice 8527459510 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Mo LLC CurrentSince Oct 24, 2024 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Oct 25, 2024 Accepting new patients
Barnes Health LLC CurrentSince Jul 16, 2023 Accepting new patients
CH Specialty Services KS LLC CurrentSince Nov 27, 2024 Accepting new patients

Locations

12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808

9100 Park St
Ste 280
Lenexa, KS 66215

9100 Park St
Lenexa, KS 66215
Phone (913) 888-1900

9393 W 110th St
Ste 500
Overland Park, KS 66210
Phone (573) 234-1800

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

2101 Corona Rd
Ste 102
Columbia, MO 65203
Phone (573) 234-1800

1734 Market St
Hannibal, MO 63401
Phone (573) 221-2930

11515 Troost Ave
Kansas City, MO 64131
Phone (813) 943-4104

621 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-1300

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

2885 Technology Dr
Lake St Louis, MO 63367
Phone (314) 259-1044

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

2041 Silva Ln
Moberly, MO 65270
Phone (660) 263-1894

4401 N Hanley Rd
Saint Louis, MO 63134
Phone (314) 521-7471

2800 Highway TT
#Four
Sedalia, MO 65301
Phone (660) 826-8803

1441 Charic Dr
Wildwood, MO 63021
Phone (636) 394-2522

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1750351888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CORONA RD",
            "address_2": "STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032582",
            "telephone_number": "573-234-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CORONA RD",
            "address_2": "STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032582",
            "telephone_number": "573-234-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTALA",
        "first_name": "LEONARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R6A65",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "76-00002",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "R6A65",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241705904",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY INDIV",
            "identifier": "09731015",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.