Leigh Rowan-Kelly, MD FASAM

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

68097 Issued in CT

Practice address

7 Island Dock Rd
Haddam, CT 06438-1036

Phone

(816) 416-6168

Fax

(860) 430-2672

NPI assigned

Jun 1, 2007

Last updated

Dec 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Michael Charles Leigh Rowan-Kelly Former name

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• State of Connecticut

  dba Connecticut Valley Hospital

  • Psychiatric Hospital
  • Middletown, CT
  • NPI 1245256247
  Medicare reassignment NPD
• State of Connecticut

  dba Department of Veterans' Affairs, Veterans Home

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1205951662
  NPD
• Group Health, Inc.

  dba HealthPartners Medical Group

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683
  NPD
• Maple Grove Hospital Corporation

  • General Acute Care Hospital
  • Maple Grove, MN
  • NPI 1225272552
  NPD
• Urgent Care NW Gresham PC

  dba Gresham Urgent Care

  • Urgent Care Clinic/Center
  • Gresham, OR
  • NPI 1336128321
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1790987709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SUMMIT CREST DR",
            "city": "SOUTH GLASTONBURY",
            "state": "CT",
            "postal_code": "060732944",
            "telephone_number": "816-416-6168",
            "fax_number": "860-430-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ISLAND DOCK RD",
            "city": "HADDAM",
            "state": "CT",
            "postal_code": "064381036",
            "telephone_number": "816-416-6168",
            "fax_number": "860-430-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWAN-KELLY",
        "first_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "MD FASAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CT",
            "license": "68097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "390200000X",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "ROWAN-KELLY",
            "middle_name": "CHARLES LEIGH",
            "prefix": "DR.",
            "credential": "MD FASAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pawsitive Therapy, LLC
• River Valley Speech Therapy, LLC.
• James E Scory
• Valerie Anne Williams

• Addiction Medicine (Family Medicine) Physician in Haddam, CT
• Providers in Haddam, CT by specialty
• Addiction Medicine (Family Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.