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DR. LEIGH ROWAN-KELLY MD FASAM
NPI 1790987709
Family Medicine - Addiction Medicine in Haddam, CT

Active since June 01, 2007PECOS Enrolled
7 ISLAND DOCK RD, HADDAM, CT 06438(816) 416-6168(860) 430-2672 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 27, 2024, Aug 11, 2023, Sep 16, 2020 (3 updates tracked since 2020).

About Dr. Leigh Rowan-kelly Md Fasam NPPES

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

DR. LEIGH ROWAN-KELLY MD FASAM (NPI 1790987709) is an individual addiction medicine provider in Haddam, Connecticut, licensed in Connecticut (68097) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790987709
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameDR. LEIGH ROWAN-KELLYCredential: MD FASAM
Location Address7 ISLAND DOCK RDHaddam, CT 06438-1036
Mailing Address100 Summit Crest DrSouth Glastonbury, CT 06073-2944 · (816) 416-6168 · Fax (860) 430-2672
Phone(816) 416-6168
Fax(860) 430-2672
Sole ProprietorNo
Enumeration DateJune 1, 2007
Last NPPES UpdateDecember 27, 20243 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1790987709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in CT · 68097
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
7 ISLAND DOCK RD, Haddam, CT 06438
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Michael Charles Leigh Rowan-kelly Md Fasam

Other Identifiers 1

Other390200000XOR · Taxonomy

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leigh Rowan-kelly Md Fasam 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.

Medicare Billing Reassignment

Medicare enrollment records show Leigh Rowan-kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Connecticut
7.5 mi
Psychiatric Hospital
1000 SILVER STREET
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 89 clinicians in this Medicare group
NPI 1245256247 (860) 262-7153

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06438 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

PARAMOUNT OPERATIONS BBD LLC
Rehabilitation, Substance Use Disorder Unit
7 ISLAND DOCK RD
HADDAM, CT 06438
Lower Connecticut River Valley Planning Region (321) 917-0905

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 Leigh Rowan-kelly's NPI number?

The NPI number for Leigh Rowan-kelly is 1790987709. It was assigned to this individual provider in the NPPES registry on June 1, 2007. The provider is also known as Dr. Michael Charles Leigh Rowan-Kelly MD Fasam.

Where is Leigh Rowan-kelly located?

Leigh Rowan-kelly practices at 7 Island Dock Rd, Haddam, CT 06438. The listed phone number is (816) 416-6168.

What is Leigh Rowan-kelly's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Leigh Rowan-kelly enrolled in Medicare?

Yes. Leigh Rowan-kelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leigh Rowan-kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leigh Rowan-kelly reassigns Medicare benefits to State Of Connecticut (Middletown, CT). The 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 Leigh Rowan-kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Leigh Rowan-kelly was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.