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Deactivated NPI 1124088547 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen J Leach , MD

Internal Medicine • Willimantic, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Leach has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 28, 2006
NPI Deactivation Date July 17, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Leach, MD was a registered Internal Medicine practicing in Willimantic, CT. Throughout an active medical career spanning 19 years, Dr. Leach provided care at the practice location at 37 IVAN HILL ST until profile deactivation on 2025-07-17.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, automated urinalysis test. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

37 Ivan Hill St

Willimantic, CT 062262001

Telephone 8604239764
Fax 8604239866
Associated Practice Facility / Clinic
🏢 Windham Medical Group Facility NPI 1013061100

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Willimantic, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 30.4 Yrs
Regional Practice Density
23 Specialists

Practicing in Willimantic, CT (2753 Statewide)

Telehealth Adoption Rate
17.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
24 23 $150.00 $74.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $195.00 $110.32

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CT 019808

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Dr. Gregory Haman , MD

Internal Medicine

NPI 1033590773

Doctor of Medicine (M.D.)

Dr. Walter Mcphee , MD

Internal Medicine

NPI 1144229113

Doctor of Medicine (M.D.)

Dr. Judith Ukabam , MD

Internal Medicine - Geriatric Medicine

NPI 1306370010

Doctor of Medicine (M.D.)

Shauna Rago , APRN

Nurse Practitioner

NPI 1457544728

Advanced Practice Registered Nurse

Dr. Surayda Herrera , DO

Internal Medicine

NPI 1497169700

Doctor of Osteopathic Medicine (D.O.)

Cheryl Eaton , APRN

Nurse Practitioner - Primary Care

NPI 1649712084

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 17, 2025

Record deactivated on July 17, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 37 IVAN HILL ST, WILLIMANTIC, CT 062262001 (Tel: 8604239764)

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Updated Business Mailing Address July 08, 2007

Registered at 37 IVAN HILL ST, WILLIMANTIC, CT 062262001 (Tel: 8604239764)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN LEACH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #019808 in CT)

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Initial NPI Registration & Enumeration March 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124088547
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2006
Last Update: July 08, 2007
Deactivation Date: July 17, 2025

Mailing Address

37 Ivan Hill St

Willimantic, CT 062262001

Phone: 8604239764

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.