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DR. J TIMOTHY LEAVELL MD
NPI 1407890031
Pediatrics - Developmental - Behavioral Pediatrics in Boise, ID

Active since June 15, 2006PECOS Enrolled
100 E IDAHO ST, SUITE 200, BOISE, ID 83712(208) 381-7312(208) 381-7313 Get Directions Write a Review

NPPES record last updated: April 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. J Timothy Leavell Md NPPES

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

DR. J TIMOTHY LEAVELL MD (NPI 1407890031) is an individual developmental - behavioral pediatrics provider in Boise, Idaho, licensed in Idaho (M7792) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407890031
Entity TypeIndividualMale
Primary Taxonomy2080P0006X
Provider Legal NameDR. J TIMOTHY LEAVELLCredential: MD
Location Address100 E IDAHO ST, SUITE 200Boise, ID 83712-6267
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-7312 · Fax (208) 381-7313
Phone(208) 381-7312
Fax(208) 381-7313
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateApril 22, 2011
✔ NPI 1407890031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in ID · M7792
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
100 E IDAHO ST, Boise, ID 83712
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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)

Dr. J Timothy Leavell 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.

DR. NATHAN D MEEKER M.D.
Pediatrics (Pediatric Hematology-Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2782
MCKAY HERPEL PHARMD
Pharmacist (Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-3108
DR. FREDERICK K EMGE MD
Pediatrics (Pediatric Cardiology)
100 E IDAHO ST, SUITE 200
BOISE, ID 83712
Ada County (208) 381-7384
DAN S ZUCKERMAN MD
Internal Medicine (Hematology & Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2711
MISTY NEISEN
Physician Assistant
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2711
AMY MERCER RD
Dietitian, Registered
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-4011
DAVID B BETTIS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
100 E IDAHO ST, STE 201
BOISE, ID 83712
Ada County (208) 381-5180
VIVIANA BAEZA NUNEZ
Massage Therapist
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 706-5287

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 J Leavell's NPI number?

The NPI number for J Leavell is 1407890031. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is J Leavell located?

J Leavell practices at 100 E Idaho St Suite 200, Boise, ID 83712. The listed phone number is (208) 381-7312.

What is J Leavell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is J Leavell enrolled in Medicare?

Yes. J Leavell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for J Leavell was last updated on April 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.