Individual provider Active NPI

Leah Kathleen Cobb, MD

  • Orthopaedic Surgery Physician
  • Boise, ID
National Provider Identifier
1891962197
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036162251 Issued in IL
Practice address
2619 W Fairview Ave
Boise, ID 83702-6722
Phone
(208) 706-2663
Fax
(208) 489-4300
NPI assigned
May 15, 2008
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036162251 IL Primary

Addresses

Primary practice location

2619 W Fairview Ave
Boise, ID 83702-6722

Mailing address

PO Box 6502
San Juan, PR 00914-6502
Phone (787) 222-5262

Other practice location 1

29 Calle Washington
San Juan, PR 00907-1521
Phone (787) 222-5262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, VI, IL, ID4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180529000208 PR Practitioner - Orthopedic Surgery 3971868761 Practice locations: San Juan, PR
I20190912003224 VI Practitioner - Orthopedic Surgery 3971868761 Reassigns benefits to 2 organizations
I20240930001472 IL Practitioner - Orthopedic Surgery 3971868761 Reassigns benefits to 2 organizations
I20260127001532 ID Practitioner - Orthopedic Surgery 3971868761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

190 E Bannock St
Boise, ID 83712-6241

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Siu Physicians & Surgeons, Inc CurrentSince Sep 18, 2024 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Dec 6, 2025 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Dec 6, 2025 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Sep 18, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Oct 22, 2019 Accepting new patients
Comprehensive Orthopedics LLC CurrentSince Sep 1, 2019 Accepting new patients
Caribbean Pediatric Orthopaedics LLC Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Mar 18, 2025 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Oct 22, 2019 Accepting new patients
Liberty Medical Development, LLC Orthopaedic Surgery PastSince Sep 1, 2019 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

2619 W Fairview Ave
Boise, ID 83702
Phone (208) 706-2676

2619 W Fairview Ave
#1103
Boise, ID 83702

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

420 NE Glen Oak Ave
Ste 201
Peoria, IL 61603
Phone (309) 655-3800

420 NE Glen Oak Ave
Ste 301
Peoria, IL 61603
Phone (309) 655-7668

8600 State Route 91
Peoria, IL 61615
Phone (309) 624-3250

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

400 N 9th St
Springfield, IL 62702
Phone (217) 545-6498

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

4006 Estate Diamond
Ste 201
St Croix, VI 00820
Phone (340) 718-2665

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

9151 Estate Thomas
Ste 206
St Thomas, VI 00802

Interoperability endpoints

  • Direct secure messaging: sjclcobb@yourcarecommunity.org

Organizations & group practices 12

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 1

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1891962197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6502",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009146502",
            "telephone_number": "787-222-5262",
            "fax_number": "772-919-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 W FAIRVIEW AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026722",
            "telephone_number": "208-706-2663",
            "fax_number": "208-489-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 CALLE WASHINGTON",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071521",
            "country_code": "US",
            "telephone_number": "787-222-5262",
            "fax_number": "772-919-8543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBB",
        "first_name": "LEAH",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036162251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.