Leading Edge Medical
NPI 1861915688ActiveOrganization· General Practice· Gilbert, AZ
General Practice in Gilbert, Arizona, registered in NPPES in July 2017. The authorized official on file is Benjamin Johnson, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861915688 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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