Leah A Brown, PA-C, MMS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.002941 Issued in IL

Practice address

618 W Fulton St
Chicago, IL 60661-1144

Phone

(773) 348-7171

Fax

(773) 348-7414

NPI assigned

Jul 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Siddharth Tambar, MD

  • Rheumatology Physician
  • Chicago, IL
  • NPI 1477655488
  Medicare reassignment
• Chicago Arthritis LLC

  • Rheumatology Physician
  • Chicago, IL
  • NPI 1477915221
  NPD (past)
• Pain Care Specialists, LLC

  • Pain Medicine Physician
  • Hinsdale, IL
  • NPI 1760491450
  NPD (past)

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1780814525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 W FULTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611144",
            "telephone_number": "773-348-7171",
            "fax_number": "773-348-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W FULTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611144",
            "telephone_number": "773-348-7171",
            "fax_number": "773-348-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LEAH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C, MMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.002941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyndra Deshae Brown, PSYD
• Latasha Brown
• Latoya R Brown
• Laura Brown, M.S.ED., LPC
• Lauren Brown, MD
• Liam T Brown, LCSW
• Lisa Brown
• Lloyd Garth Brown, M.D.
• Logan Brown, ATC, LAT
• Logan Brown, MS

• Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.