Active NPI
Kathleen Anne Leinen, D.O.
- Family Medicine Physician
- Fairbury, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036121354
- Practice address
- 106 S 1St St Ste 100
Fairbury, IL 61739-1509 - Phone
- (815) 692-2308
- Fax
- (815) 692-3278
- NPI assigned
- Aug 29, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
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.
-
- Rural Health Clinic/Center
- Roanoke, IL
- NPI 1164138848
-
- Medicare Defined Swing Bed Hospital Unit
- Pontiac, IL
- NPI 1023060613
-
- Rural Health Clinic/Center
- El Paso, IL
- NPI 1154046597
-
- Rural Health Clinic/Center
- Dwight, IL
- NPI 1205551652
-
- Rural Health Clinic/Center
- Pontiac, IL
- NPI 1245955608
-
- General Acute Care Hospital
- Pontiac, IL
- NPI 1407808090
-
- Rural Health Clinic/Center
- Flanagan, IL
- NPI 1437874898
-
- Rural Health Clinic/Center
- Pontiac, IL
- NPI 1447976113
-
- Rural Health Clinic/Center
- Cullom, IL
- NPI 1467178814
-
- Rural Health Clinic/Center
- Clinton, IL
- NPI 1770208134
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bloomington, IL
- NPI 1851330203
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint James Hospital
Practice addresses (Care Compare)
106 S 1St St
Fairbury, IL 61739-1509
Phone (815) 692-2308
2500 W Reynolds St
Pontiac, IL 61764-9774
Hospital & facility affiliations
- Osf Home Health-Eastern Region
- Saint James Hospital
- St Joseph Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081105000302 | TX | Practitioner - Family Practice | 7810056868 | Reassigns benefits to 1 organization |
| I20240123001182 | IL | Practitioner - Family Practice | 7810056868 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint James Hospital | Current | Accepting new patients | |
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Saint James Hospital | Current | Accepting new patients | |
| Saint James Hospital | Past | Accepting new patients | |
| Adriana Pop-Moody MD Clinic PA | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
106 S 1st St
Fairbury, IL 61739
Phone (815) 635-3177
106 S 1st St
Ste 100
Fairbury, IL 61739
Phone (815) 592-2380
2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828
6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627
1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330
1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100
1211 Austin Hwy
Ste 110
San Antonio, TX 78209
Phone (210) 774-5010
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036121354 | IL | Primary |
| Family Medicine Physician | 207Q00000X | N0919 | TX |
Addresses
NPPES NPI RegistryPrimary practice location
106 S 1St St Ste 100
Fairbury, IL 61739-1509
Mailing address
106 S 1St St Ste 100
Fairbury, IL 61739-1509
Phone (815) 692-2308
Other practice location 1
12602 Toepperwein Rd
Suite #100
Live Oak, TX 78233-3269
Phone (210) 654-0030
Other practice location 2
1 E County Line Rd
Sandwich, IL 60548-2178
Phone (815) 786-2722
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| N0919 | Other | TX | TX LICENSE |
| 036121354 | Medicaid | IL | |
| 209713102 | Medicaid | TX |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2026.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1760630925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 S 1ST ST STE 100",
"city": "FAIRBURY",
"state": "IL",
"postal_code": "617391509",
"telephone_number": "815-692-2308",
"fax_number": "815-692-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 S 1ST ST STE 100",
"city": "FAIRBURY",
"state": "IL",
"postal_code": "617391509",
"telephone_number": "815-692-2308",
"fax_number": "815-692-3278"
}
],
"practiceLocations": [
{
"address_1": "12602 Toepperwein Rd",
"address_2": "Suite #100",
"address_purpose": "LOCATION",
"city": "Live Oak",
"state": "TX",
"postal_code": "782333269",
"country_code": "US",
"telephone_number": "210-654-0030",
"fax_number": "855-278-4550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 E County Line Rd",
"address_purpose": "LOCATION",
"city": "Sandwich",
"state": "IL",
"postal_code": "605482178",
"country_code": "US",
"telephone_number": "815-786-2722",
"fax_number": "815-786-6840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEINEN",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-29",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036121354",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N0919",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX LICENSE",
"identifier": "N0919",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036121354",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209713102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairbury, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.