DR. LEIGH ROWAN-KELLY (MD FASAM) – Addiction Medicine (Family Medicine) Physician, NPI 1790987709

DR. LEIGH ROWAN-KELLY (MD FASAM) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Addiction Medicine (Family Medicine) Physician. They hold the professional credentials MD FASAM. They hold a License No. 68097 (CT). The NPI Number for DR. LEIGH ROWAN-KELLY (MD FASAM) is 1790987709

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. LEIGH ROWAN-KELLY (MD FASAM)
NPI
1790987709
Phone
Not provided
Address
8170 33RD AVE S # MS 21110Q
Enumeration Date
1 June 2007
Last Update Date
27 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529933123
Graduation Year
1977 (49 years ago)
PAC ID
6305997834
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20150218001727
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. LEIGH ROWAN-KELLY (MD FASAM)

  • 8170 33RD AVE S # MS 21110Q

    MINNEAPOLIS, MN 554254516

    Phone:

    Type: Mailing

  • 7 ISLAND DOCK RD

    HADDAM, CT 064381036

    Phone: (816) 416-6168

    Fax: (860) 430-2672

    Type: Location

  • Healthpartners Med/Dent Clinic, 15290, Pennock Lane, Townhouse, Apple Valley, Dakota County, Minnesota, 55124, United States

    APPLE VALLEY, MN 551247163

    Phone: (952) 853-8800

    Type: Location

  • 100 SUMMIT CREST DR

    SOUTH GLASTONBURY, CT 060732944

    Phone: (816) 416-6168

    Fax: (860) 430-2672

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-10-31 • Largest payer in this snapshot: Alkermes, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$15
View all Open Payments →|Open Payments Risk Radar →

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: 2025-03-03

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
I20250303001848IFamily PracticeCTTBD

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 55425)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

Can I cross-check DR. LEIGH ROWAN-KELLY (MD FASAM) using NPI 1790987709?
NPI 1790987709 belongs to DR. LEIGH ROWAN-KELLY (MD FASAM); compare other details if you need extra assurance.
Is there an active status for DR. LEIGH ROWAN-KELLY (MD FASAM)?
For scheduling context, DR. LEIGH ROWAN-KELLY (MD FASAM) is shown as active in the registry.
What expertise is attributed to DR. LEIGH ROWAN-KELLY (MD FASAM)?
DR. LEIGH ROWAN-KELLY (MD FASAM)'s specialty line reads Addiction Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. LEIGH ROWAN-KELLY (MD FASAM)?
Travel planning: use Minneapolis, Minnesota as the reference point for DR. LEIGH ROWAN-KELLY (MD FASAM), then confirm.
Does DR. LEIGH ROWAN-KELLY (MD FASAM) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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