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CHARLES RYAN LEIBOLD MD
NPI 1316798945
Student in an Organized Health Care Education/Training Program in Lexington, KY

Active since April 01, 2024PECOS Enrolled
110 CONN TER STE 550, LEXINGTON, KY 40508(859) 218-2631 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles Ryan Leibold Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES RYAN LEIBOLD MD (NPI 1316798945) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316798945
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHARLES RYAN LEIBOLDCredential: MD
Location Address110 CONN TER STE 550Lexington, KY 40508-3206
Mailing Address110 Conn Ter Ste 550Lexington, KY 40508-3206 · (859) 218-2631
Phone(859) 218-2631
Sole ProprietorNo
Enumeration DateApril 1, 2024
NPPES CertifiedMarch 31, 2024
✔ NPI 1316798945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
110 CONN TER STE 550, Lexington, KY 40508
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Ryan Leibold Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHADEN HAMDY FATHY YASSIN MD
Ophthalmology (Retina Specialist)
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
KAREN SANTOS MCCLOUD OD
Optometrist
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
DR. PETER JOHN TIMONEY MBBCH
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
DR. CLAIRE ELIZABETH FRASER M.D., PH.D.
Ophthalmology (Retina Specialist)
110 CONN TER STE 550, UNIVERSITY OF KENTUCKY DEPT OF OPHTHALMOLOGY
LEXINGTON, KY 40508
Fayette County (859) 323-5867
MANOKAMNA AGARWAL MD
Ophthalmology (Cornea and External Diseases Specialist)
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
ELIZABETH GAMMELTOFT MD
Student in an Organized Health Care Education/Training Program
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 218-2631
MATTHEW PFANNENSTIEL MD
Ophthalmology
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
AMANDA LIMBAUGH MARZOLF M.D.
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Leibold's NPI number?

The NPI number for Charles Leibold is 1316798945. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Charles Leibold located?

Charles Leibold practices at 110 Conn Ter Ste 550, Lexington, KY 40508. The listed phone number is (859) 218-2631.

What is Charles Leibold's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Charles Leibold enrolled in Medicare?

Yes. Charles Leibold is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Leibold was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.