LEADING EDGE MEDICAL
NPI 1861915688
General Practice in Gilbert, AZ

Active since July 24, 2017
1530 S VAL VISTA DR STE 106, GILBERT, AZ 85296(480) 664-6061(480) 584-6336 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jul 24, 2017 (2 updates tracked since 2017).

About Leading Edge Medical NPPES

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

LEADING EDGE MEDICAL (NPI 1861915688) is a healthcare organization registered as a general practice in Gilbert, Arizona and active in the NPI registry since July 2017. The organization lists Benjamin Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1861915688
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLEADING EDGE MEDICAL
Location Address1530 S VAL VISTA DR STE 106Gilbert, AZ 85296-3860
Mailing Address1530 S Val Vista Dr Ste 106Gilbert, AZ 85296-3860 · (480) 664-6061 · Fax (480) 584-6336
Fax(480) 584-6336
Organization SubpartNo
Authorized OfficialBenjamin JohnsonOwner · (480) 664-6061
Enumeration DateJuly 24, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1861915688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1530 S VAL VISTA DR STE 106, Gilbert, AZ 85296

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leading Edge Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Leading Edge Medical, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1235883935
18465 E RAVEN DR
Queen Creek, AZ 85142
(602) 327-3250
✔ PECOS5.5 mi
Nurse Practitioner
NPI 1417439274
155 W COMBS RD
San Tan Valley, AZ 85140
(480) 474-6620
✔ PECOS✔ Accepts Medicare13 mi

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

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 Leading Edge Medical's NPI number?

The NPI number for Leading Edge Medical is 1861915688. It was assigned to this organization in the NPPES registry on July 24, 2017.

Where is Leading Edge Medical located?

Leading Edge Medical is located at 1530 S Val Vista Dr Ste 106, Gilbert, AZ 85296. The listed phone number is (480) 664-6061.

What is Leading Edge Medical's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Leading Edge Medical enrolled in Medicare?

Yes. Leading Edge Medical is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leading Edge Medical?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Leading Edge Medical. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Leading Edge Medical was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.