Individual provider Active NPI

Leann Marie Stidham, M.D.

  • Diagnostic Radiology Physician
  • Seymour, IN
National Provider Identifier
1750543591
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01066073A Issued in IN
Practice address
411 W Tipton St
Seymour, IN 47274-2363
Phone
(812) 522-0144
Fax
(812) 522-0466
NPI assigned
Jul 1, 2008
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01066073A IN Primary

Addresses

Primary practice location

411 W Tipton St
Seymour, IN 47274-2363

Mailing address

411 W Tipton St
Seymour, IN 47274-2363
Phone (812) 522-0144

Other practice location 1

500 W Votaw St
Portland, IN 47371-1322
Phone (260) 726-7131

Other identifiers 2

IdentifierTypeStateIssuer
000000712370OtherINANTHEM
200989190MedicaidIN

Other names 1

  • Dr. Leann Marie Gerkin Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lstidham1750543591@direct.d4d.ihie.us
Direct Messaging Address lstidham1750543591@direct.d4d.ihie.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100819001115 IN Practitioner - Diagnostic Radiology 6002940434 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Muncie IncGroup PAC ID 3577476100, 57 clinicians

Practice addresses (Care Compare)

411 W Tipton St
Seymour, IN 47274-2363
Phone (812) 522-2349

6801 W Augusta Blvd
Yorktown, IN 47396-9334
Phone (903) 663-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.88 of 100Reported as group
Quality
94.47
Improvement activities
40
Cost
80.32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Central Radiology CurrentSince Jul 11, 2011 Accepting new patients
Radiology Associates of Muncie, Inc. Diagnostic Radiology CurrentSince Jun 15, 2011 Accepting new patients
Jackson County Schneck Memorial Hospital CurrentSince Mar 16, 2026 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients
Indiana University Radiology Associates, Inc. Diagnostic Radiology Past Accepting new patients

Locations

2598 W White River Blvd
Muncie, IN 47303
Phone (765) 282-7595

500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

Interoperability endpoints

  • Direct secure messaging: lstidham1750543591@direct.d4d.ihie.us

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1750543591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742363",
            "telephone_number": "812-522-0144",
            "fax_number": "812-522-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742363",
            "telephone_number": "812-522-0144",
            "fax_number": "812-522-0466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Votaw St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "IN",
            "postal_code": "473711322",
            "country_code": "US",
            "telephone_number": "260-726-7131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIDHAM",
        "first_name": "LEANN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01066073A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000712370",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200989190",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lstidham1750543591@direct.d4d.ihie.us",
            "affiliation": "N",
            "endpointDescription": "Digital Endpoint Direct Address",
            "address_1": "500 W Votaw St",
            "city": "Portland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473711322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lstidham1750543591@direct.d4d.ihie.us",
            "affiliation": "N",
            "endpointDescription": "Digital Endpoint Direct Address",
            "address_1": "411 W Tipton St",
            "city": "Seymour",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472742363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LEANN",
            "last_name": "GERKIN",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.