DESIREE MAE LEARY (DO) – Family Medicine Physician, NPI 1598407868

DESIREE MAE LEARY (DO) is a healthcare provider. based in Stamford, Connecticut. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. DO4034 (ME). The NPI Number for DESIREE MAE LEARY (DO) is 1598407868

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DESIREE MAE LEARY (DO)
NPI
1598407868
Phone
(203) 276-2270
Address
1351 WASHINGTON BLVD
Enumeration Date
8 April 2022
Last Update Date
27 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2079621200
Graduation Year
2022 (4 years ago)
PAC ID
0446777197
Group Practice PAC ID
2466788906
Professional Enrollment ID
I20250507000647
Address ID
ME041051352FA367XX1XXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

822 FAMILY PRACTICE in CT

Provider Addresses for DESIREE MAE LEARY (DO)

  • 1351 WASHINGTON BLVD

    STAMFORD, CT 069022419

    Phone: (203) 276-2270

    Fax: (203) 276-2413

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250507000647IFamily PracticeMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06902)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466788906View full group profile
NameSpecialtyState
Nurse PractitionerME
Family PracticeME
Nurse PractitionerME
Family Practice, HospitalistME
Nurse PractitionerME
Physician AssistantME
Physician AssistantMD
Nurse PractitionerME
Internal MedicineVA
Family Practice, Geriatric MedicineME

Reviews

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Frequently asked questions

What NPI should I save for DESIREE MAE LEARY (DO)?
Save NPI 1598407868 if you need a stable reference for DESIREE MAE LEARY (DO).
Is DESIREE MAE LEARY (DO) active in the national directory?
DESIREE MAE LEARY (DO)'s public NPI profile is in an active state.
What does DESIREE MAE LEARY (DO) treat or focus on?
Patients typically see DESIREE MAE LEARY (DO) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DESIREE MAE LEARY (DO)?
The page summarizes Stamford, Connecticut for DESIREE MAE LEARY (DO); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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