Individual provider Active NPI

Jonathan Joshua Leung, M.D.

  • Sports Medicine (Internal Medicine) Physician
  • Fort Worth, TX
National Provider Identifier
1023422185
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
V1821 Issued in TX
Practice address
9239 Vista Way
Fort Worth, TX 76126-2451
Phone
(817) 737-3331
NPI assigned
Jun 17, 2014
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X V1821 TX Primary

Addresses

Primary practice location

9239 Vista Way
Fort Worth, TX 76126-2451

Mailing address

9239 Vista Way
Fort Worth, TX 76126-2451
Phone (817) 737-3331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170816002275 NY Practitioner - Internal MedicinePractitioner - Sports Medicine 9830461409 Reassigns benefits to 3 organizations
I20240712001166 TX Practitioner - Internal Medicine 9830461409 Reassigns benefits to 2 organizations
I20260325001383 NJ Practitioner - Internal MedicinePractitioner - Sports MedicinePractitioner - Emergency Medicine 9830461409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Herrera Medical Group of Bedford and AssociatesGroup PAC ID 8820187172, 5 clinicians

Practice addresses (Care Compare)

1305 Airport Fwy
Suite 302
Bedford, TX 76021-6604
Phone (817) 786-8238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Internal Medicine CurrentSince Jun 23, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Jun 23, 2017 Accepting new patients
Herrera Medical Group of Bedford & Associates CurrentSince Jul 1, 2024 Accepting new patients
Ronald C. Huang M.D. LLC CurrentSince Feb 24, 2026 Accepting new patients
North Texas Diabetes & Endocrinology PastSince Jul 1, 2024 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

3701 Main St
Ste 2
Flushing, NY 11354
Phone (718) 808-8181

1305 Airport Fwy
Ste 302
Bedford, TX 76021
Phone (817) 283-6995

4101 Kirkpatrick Ln
Flower Mound, TX 75028
Phone (214) 513-2300

9239 Vista Way
Fort Worth, TX 76126
Phone (682) 224-6474

571 W Main St
Ste 120
Lewisville, TX 75057
Phone (972) 221-3500

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1023422185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9239 VISTA WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761262451",
            "telephone_number": "817-737-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 VISTA WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761262451",
            "telephone_number": "817-737-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "JONATHAN",
        "middle_name": "JOSHUA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "TX",
            "license": "V1821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.