LEIGH ROWAN-KELLY MD FASAM – NPI #1790987709
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

LEIGH ROWAN-KELLY is a physician located in HADDAM, CT. NPPES has assigned the NPI number 1790987709 to LEIGH ROWAN-KELLY on June 01, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his former name MICHAEL CHARLES LEIGH ROWAN-KELLY. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was last updated on Dec 27, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEIGH ROWAN-KELLY below.

NPI Profile for
LEIGH ROWAN-KELLY

NPI Number
1790987709
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LEIGH ROWAN-KELLY
Former Name: MICHAEL CHARLES LEIGH ROWAN-KELLY
Credentials
MD FASAM
Primary location
7 ISLAND DOCK RD
HADDAM, CT 06438-1036
Phone: (816) 416-6168 Fax: (860) 430-2672
1 Other location(s):
9825 Hospital Dr
Ste 102A
Maple Grove, MN 55369-4479
Phone: (763) 581-9220
Fax: (763) 581-9220
Mailing address
100 SUMMIT CREST DR
SOUTH GLASTONBURY, CT 06073-2944
Phone: (816) 416-6168 Fax: (860) 430-2672
Sole Proprietor
No
Updated
Certification Date
Dec 27, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LEIGH ROWAN-KELLY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherTAXONOMYOR390200000X
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
CT 68097

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.