Leilani L Nixon, MD

Individual provider Active NPI Internal Medicine Physician · Plainfield, CT

NPI 1861577587 · NPPES record last updated Jul 16, 2009

Key facts

NPI
1861577587
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
028919 (CT)
Practice address
31 Dow Rd
Plainfield, CT 06374-1800
Phone
(860) 564-6293
Fax
(860) 564-4879
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
028919CTMDInternal Medicine Physician
MD08368RIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barreto & Schwartz Psychology Associates PC Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD08368 RI
Internal Medicine Physician 207R00000X 028919 CT Yes

Addresses

Primary practice location

31 Dow Rd
Plainfield, CT 06374-1800

Mailing address

320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 564-6293

Other providers in Plainfield, CT

All providers in Plainfield, CT · Internal Medicine Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.