Leonard Edward Nagorski, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M2722 Issued in TX

Practice address

9850 Emmett F Lowry Expy Ste C103
Texas City, TX 77591-2000

Phone

(409) 938-2234

Fax

(409) 938-2200

NPI assigned

Dec 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Coastal Health & Wellness

  • Federally Qualified Health Center (FQHC)
  • Galveston, TX
  • NPI 1871766584
  Medicare reassignment NPD

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1124006069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4356",
            "address_2": "DEPARTMENT 667",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104356",
            "telephone_number": "281-586-3888",
            "fax_number": "281-440-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 EMMETT F LOWRY EXPY STE C103",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912000",
            "telephone_number": "409-938-2234",
            "fax_number": "409-938-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "837 FM 1960 West",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770900000",
            "country_code": "US",
            "telephone_number": "281-586-3888",
            "fax_number": "281-440-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775514241",
            "country_code": "US",
            "telephone_number": "409-938-2234",
            "fax_number": "409-938-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGORSKI",
        "first_name": "LEONARD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "14566",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M2722",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M2722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12135977",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181119201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Mukherjee
• Diana Marabillas Murrell, LCSW-S
• My KKT LLC
• My Place of Refuge LLC
• Susan Lindsay Naas, MS, LPC, LMFT
• Nasa Pediatrics Texas City PLLC
• National Vision, Inc.
• Nederland Smile PC
• Neighborhood Family Clinic, Inc
• Nadia Nekooi, PA

• Pediatrics Physician in Texas City, TX
• Providers in Texas City, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.