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LEESTMA MEDICAL CLINIC, INC
NPI 1487986451
Family Medicine in Demotte, IN

Active since February 02, 2010CLIA 15D0919923 · Waiver
519 N HALLECK ST, DEMOTTE, IN 46310(219) 987-7750(219) 987-5750 Get Directions Write a Review

NPPES record last updated: May 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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, 2026 and lists Eric J Leestma, President, as its authorized official.

NPPES Registry Identity

NPI1487986451
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLEESTMA MEDICAL CLINIC, INC
Location Address519 N HALLECK STDemotte, IN 46310-9553
Mailing AddressPo Box 850Demotte, IN 46310-0850 · (219) 987-7750 · Fax (219) 987-5750
Phone(219) 987-7750
Fax(219) 987-5750
Organization SubpartNo
Authorized OfficialEric J LeestmaPresident · (219) 987-7750
Enumeration DateFebruary 2, 2010
Last NPPES UpdateMay 4, 2010
✔ NPI 1487986451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 02000641A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
519 N HALLECK ST, Demotte, IN 46310
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Other Identifiers 5

Medicare UPIND95508
Other080088241Railroad Medicare
Medicaid100209310AIN
Other000000084931IN · Anthem Bcbs
Medicare PIN391870IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

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, IN
Active · expires Sep 18, 2026
CLIA Number15D0919923
Laboratory TypePhysician Office
Certificate Effective DateSeptember 19, 2024
Certificate Expiration DateSeptember 18, 2026
Laboratory DirectorEric J. Leestma
Laboratory Phone(219) 987-7750
Laboratory LocationLeestma Medical Clinic519 N Halleck St, Demotte, IN 46310
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MR. MICAH JAMES LEESTMA D.O.
Family Medicine
519 N HALLECK ST
DEMOTTE, IN 46310
Jasper County (219) 987-7750
MALLORY NICHOLE MATUSIK FNP
Nurse Practitioner (Family)
519 N HALLECK ST
DEMOTTE, IN 46310
Jasper County (219) 987-7750
MR. ADAM LEESTMA FNP
Nurse Practitioner (Family)
519 N HALLECK ST
DEMOTTE, IN 46310
Jasper County (219) 987-7750
ALICIA COPPAGE MSN, FNP-C
Family Medicine
519 N HALLECK ST
DEMOTTE, IN 46310
Jasper County (219) 987-7750

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 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.

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, 2026. 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.