KEITH JAMES LEAVELL (MD) – Pulmonary Disease Physician, NPI 1184606311

KEITH JAMES LEAVELL (MD) is a healthcare provider. based in Saint cloud, Minnesota. specializing in CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE, PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. 34628 (MN). The NPI Number for KEITH JAMES LEAVELL (MD) is 1184606311

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
KEITH JAMES LEAVELL (MD)
NPI
1184606311
Phone
(320) 252-5131
Address
1200 6TH AVE N
Enumeration Date
15 November 2005
Last Update Date
14 August 2013

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
3678640406
Group Practice PAC ID
2466363395
Professional Enrollment ID
I20080922000028
Address ID
MN563031901ST1406XNOXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

350 CRITICAL CARE (INTENSIVISTS) in MN

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Provider Addresses for KEITH JAMES LEAVELL (MD)

  • 1200, 6th Avenue North, St. Cloud, Stearns County, Minnesota, 56303, United States

    CENTRACARE CLINIC

    SAINT CLOUD, MN 563032735

    Phone: (320) 252-5131

    Fax: (320) 240-2118

    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: 2008-09-22

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
I20080922000028ICritical Care (Intensivists)MNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
94729Test to examine how well the lungs exchange gases128127$0
94726Test to determine lung volumes using sensors104104$0
94010Test to measure expiratory airflow and volume7976$0
94060Test to measure expiratory airflow and volume changes before and after medication administration6868$0
99214Established patient office or other outpatient visit, 30-39 minutes5945$0
View full utilization report →

Insurance plans in this area (ZIP 56303)

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Provider's Procedures

KEITH JAMES LEAVELL (MD) performs procedures in CRITICAL CARE (INTENSIVISTS). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CRITICAL CARE (INTENSIVISTS)MN94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration5554
CRITICAL CARE (INTENSIVISTS)MN95811Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube8072

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: 2466363395View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for KEITH JAMES LEAVELL (MD)?
KEITH JAMES LEAVELL (MD) — NPI 1184606311 — is the standard way to identify this listing.
Is KEITH JAMES LEAVELL (MD) listed as active for patients and plans?
The listing shows KEITH JAMES LEAVELL (MD) as active in the NPI system.
What taxonomy line describes KEITH JAMES LEAVELL (MD)?
For research purposes, treat KEITH JAMES LEAVELL (MD) as Pulmonary Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does KEITH JAMES LEAVELL (MD) list a practice location?
Patients near Saint Cloud, Minnesota may find KEITH JAMES LEAVELL (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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