Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Luke Leadholm, MD

Individual provider Anesthesiology Physician · NPI 1124445069

Kevin Luke Leadholm, MD is an Anesthesiology in Fall River, Massachusetts. Qualified in 2014, 12 years ago. Practices with Southcoast Physicians Group Inc, a 872-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
12
Licensed in
MA
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

363 Highland Ave
Fall River, MA 02720-3703
Phone: (508) 973-5425
Fax: (508) 973-7146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 269868 (MA)

Record details

NPI number1124445069
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2014
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southcoast Physicians Group Inc — 872 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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