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Leah M Diebolt

Hospitalist

Allopathic & Osteopathic Physicians

4000 Cambridge St, Kansas City, KS 66160-8500

PECOS Enrollment

This provider is enrolled in PECOS as LEAH DIEBOLT.

Based on the most recent information from CMS, provider Leah M Diebolt is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1114660776
Provider Type
Individual
Full Name
Diebolt, Leah M
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/20/2022
Last Updated
6/19/2025

Contact Information

Practice Location

4000 Cambridge St, Kansas City, KS 66160-8500

(913) 588-1227

Unlisted Fax

Mailing Location

3901 Rainbow Blvd # Ms 2027, Kansas City, KS 66160-8500

(913) 588-3974

(913) 588-6055

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License 04-51279 Kansas
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 04-51279 Kansas

Leah M Diebolt

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Wilkinson, Kelsie

Le, Quang Trong Trung

Taha, Mohammad

Bhakta, Maharshi

Opole, Isaac O

Rajab, Rawan

Greve, Lacey Kay

Khan, Nasar

Morgan, Ethan

Cushing, Jacob M