Active NPI
Patrick Leung, MD
- Family Medicine Physician
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME137161
- Practice address
- 290 NW Peacock Blvd #880891
Port Saint Lucie, FL 34986 - Phone
- (816) 398-8916
- NPI assigned
- Apr 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME137161 | FL | Primary |
Addresses
Primary practice location
290 NW Peacock Blvd #880891
Port Saint Lucie, FL 34986
Mailing address
1400 S Coulter St Ste 5100
Suite 5100
Amarillo, TX 79106-1786
Phone (806) 414-9559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- University of Hawaii John a. Burns School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11555 Central Pkwy
Suite 903
Jacksonville, FL 32224-2701
Phone (863) 874-0898
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME137161 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primecare at Twin Lakes LLC | Multi-Specialty | Current | Accepting new patients |
| Medical Physicians Group PLLC | Multi-Specialty | Current | Accepting new patients |
| Medical Physicians Group PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
1890 Lpga Blvd
Ste 130
Daytona Beach, FL 32117
Phone (386) 274-2212
11555 Central Pkwy
Ste 903
Jacksonville, FL 32224
Phone (318) 996-8168
290 NW Peacock Blvd
#880891
Port St Lucie, FL 34986
Phone (816) 398-8916
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Port Saint Lucie, FL
- NPI 1598245615
Multi-Specialty
-
- Urgent Care Clinic/Center
- Daytona Beach, FL
- NPI 1902809122
Multi-Specialty
-
- Family Medicine Physician
- Port Saint Lucie, FL
- NPI 1114408648
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1124461124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 S COULTER ST STE 5100",
"address_2": "SUITE 5100",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061786",
"telephone_number": "806-414-9559",
"fax_number": "806-351-3765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 NW PEACOCK BLVD #880891",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "34986",
"telephone_number": "816-398-8916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-10",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME137161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.