LEESTMA MEDICAL CLINIC, INC
NPI 1487986451
Family Medicine in Demotte, IN
About Leestma Medical Clinic, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEESTMA MEDICAL CLINIC, INC (NPI 1487986451) is a healthcare organization registered as a family medicine in Demotte, Indiana and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through September 18, 2028 and lists Eric J Leestma, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Leestma Medical Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Leestma Medical Clinic, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 15D0919923
Leestma Medical Clinic · Demotte, INFrequently 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 Leestma Medical Clinic, Inc's NPI number?
The NPI number for Leestma Medical Clinic, Inc is 1487986451. It was assigned to this organization in the NPPES registry on February 2, 2010.
Where is Leestma Medical Clinic, Inc located?
Leestma Medical Clinic, Inc is located at 519 N Halleck St, Demotte, IN 46310. The listed phone number is (219) 987-7750.
What is Leestma Medical Clinic, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Leestma Medical Clinic, Inc enrolled in Medicare?
Yes. Leestma Medical Clinic, Inc is registered in the Medicare PECOS enrollment system.
When is Leestma Medical Clinic, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Leestma Medical Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Leestma Medical Clinic, Inc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Leestma Medical Clinic, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D0919923) is associated with this NPI, valid through September 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Leestma Medical Clinic, Inc accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Leestma Medical Clinic, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Leestma Medical Clinic, Inc was last updated on May 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Leestma Medical Clinic, Inc · NPI 1487986451
Family Medicine organization in Demotte, Indiana. Organization record, active in the CMS NPPES registry since February 2, 2010.
## Identity
- **NPI:** 1487986451 (Entity type: Organization)
- **Enumerated:** February 2, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Eric Leestma, PRESIDENT
## Practice location
- **Address:** 519 N HALLECK ST, Demotte, IN 46310-9553
- **Phone:** (219) 987-7750 · **Fax:** (219) 987-5750
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2010
- **Other identifiers:** Medicare UPIN D95508; Other 080088241; Medicaid 100209310A (IN); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487986451) · Data from the CMS NPPES public registry.