Individual provider Active NPI

Wesley Maurice Leong, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Roanoke, VA
National Provider Identifier
1063862035
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0116029544 Issued in VA
Practice address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone
(540) 981-7000
NPI assigned
Jun 20, 2016
Last updated
Jun 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0116029544 VA Primary

Addresses

Primary practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Mailing address

301 1St St SW Apt 508
Roanoke, VA 24011-1924
Phone (650) 888-3678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210226000572 SD Practitioner - Podiatry 4789979238 Reassigns benefits to 2 organizations
I20240917004040 TX Practitioner - Podiatry 4789979238 Reassigns benefits to 1 organization
I20251202002627 CA Practitioner - Podiatry 4789979238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16311 Ventura Blvd
Suite 1150
Encino, CA 91436-4398

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1072MNMDRegistered Dietitian
0116029544VAMDFoot & Ankle Surgery Podiatrist
5609CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Jul 11, 2024 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Feb 15, 2021 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Feb 15, 2021 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Cherokee Nation Current Accepting new patients
Monument Health Network, Inc. CurrentSince Aug 19, 2021 Accepting new patients
Cherokee Nation CurrentSince Jul 11, 2024 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Ada del Rivero-Yamuy Medical Corp CurrentSince Jan 1, 2026 Accepting new patients
Monument Health Network, Inc. CurrentSince Aug 19, 2021 Accepting new patients
Cherokee Nation Current Accepting new patients
Shahin S. Rad, M.D. PC CurrentSince Jan 1, 2026 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients

Locations

3831 Hughes Ave
Culver City, CA 90232
Phone (310) 204-1111

3831 Hughes Ave
Ste 101
Culver City, CA 90232
Phone (310) 204-0104

16311 Ventura Blvd
Encino, CA 91436
Phone (818) 205-9500

16311 Ventura Blvd
Ste 1150
Encino, CA 91436
Phone (818) 477-0787

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
Muskogee, OK 74403
Phone (918) 687-0201

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

395200 W 2900 Rd
Ochelata, OK 74051
Phone (918) 535-6000

821 Amohi Ln
Salina, OK 74365
Phone (918) 390-4415

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

301 S J T Stites St
Sallisaw, OK 74955
Phone (918) 774-1400

471688 Highway 51
Stilwell, OK 74960

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

2140 Junction Ave
Sturgis, SD 57785
Phone (605) 720-2400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDEBD

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1063862035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 1ST ST SW APT 508",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111924",
            "telephone_number": "650-888-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-981-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONG",
        "first_name": "WESLEY",
        "middle_name": "MAURICE",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0116029544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.