DR. ADAM MATTHEW LEIDAL (M.D.) – Internal Medicine Physician, NPI 1063944676

DR. ADAM MATTHEW LEIDAL (M.D.) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 72381-20 (WI). The NPI Number for DR. ADAM MATTHEW LEIDAL (M.D.) is 1063944676

Main info

Male
9 Years Of Experience
Name
DR. ADAM MATTHEW LEIDAL (M.D.)
NPI
1063944676
Phone
(414) 805-0812
Address
8701 W WATERTOWN PLANK RD
Enumeration Date
2 April 2017
Last Update Date
6 January 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
9203202011
Graduation Year
2017 (9 years ago)
PAC ID
9133559875
Group Practice PAC ID
2365836954
Professional Enrollment ID
I20200804001500
Address ID
WI542203712MA2300XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,939 INTERNAL MEDICINE in WI

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Provider Addresses for DR. ADAM MATTHEW LEIDAL (M.D.)

  • 8701, West Watertown Plank Road, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States

    MILWAUKEE, WI 532263548

    Phone: (414) 805-0812

    Type: Location

  • Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States

    DEPT OF MED CLIN CANCER CTR BLDG, 5TH FLOOR, STE. C5400

    MILWAUKEE, WI 532263522

    Phone: (414) 805-0812

    Type: Mailing

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: 2020-08-04

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
I20200804001500IInternal MedicineWITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes423174$0
99239Hospital discharge day management, more than 30 minutes174171$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9393$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5134$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 53226)

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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: 2365836954View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
Nurse PractitionerWI
Nurse PractitionerWI
Emergency MedicineFL
Nurse PractitionerWI
Nurse PractitionerWI
Physician AssistantIN
Nurse PractitionerWI
Nurse PractitionerWI
Qualified AudiologistWI

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ADAM MATTHEW LEIDAL (M.D.)?
NPI 1063944676 is assigned to DR. ADAM MATTHEW LEIDAL (M.D.) under the national enumeration system.
Is DR. ADAM MATTHEW LEIDAL (M.D.) active in the national directory?
DR. ADAM MATTHEW LEIDAL (M.D.)'s public NPI profile is in an active state.
What field does DR. ADAM MATTHEW LEIDAL (M.D.) work in?
You can think of DR. ADAM MATTHEW LEIDAL (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. ADAM MATTHEW LEIDAL (M.D.) practice in Wisconsin?
You will see Milwaukee, Wisconsin on file for DR. ADAM MATTHEW LEIDAL (M.D.) alongside any extra practice locations.
What if Milwaukee, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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