Individual provider Active NPI

Edward Leon, MD

  • Emergency Medicine Physician
  • Decatur, IL
National Provider Identifier
1164496865
Registry record updated Nov 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0361409383 Issued in IL
Practice address
2300 N Edward St
Emergency Dept
Decatur, IL 62526-4163
Phone
(217) 876-3000
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0361409383 IL Primary

Addresses

Primary practice location

2300 N Edward St
Emergency Dept
Decatur, IL 62526-4163

Mailing address

2300 N Edward St
Emergency Dept
Decatur, IL 62526-4163
Phone (217) 876-3000

Other identifiers 8

IdentifierTypeStateIssuer
036109383001MedicaidIL
IL0181OtherJOHN DEERE ILLINOIS
036109383OtherBCILLINOIS
225150OtherIHS
P00053389OtherRR MEDICARE
1582965MedicaidIA
93334OtherBCWELLMARK 7TH
93378OtherBCWELLMARK WEST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100928000735 IL Practitioner - Emergency Medicine 6406826767 Reassigns benefits to 8 organizations
I20230719001026 IN Practitioner - Emergency Medicine 6406826767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iems Physician Services PLLCGroup PAC ID 2567802556, 64 clinicians
Clarksville Emergency Group PCGroup PAC ID 6507277423, 149 clinicians
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians
Midwest Emergency Department Specialists LTDGroup PAC ID 5193627727, 62 clinicians

Practice addresses (Care Compare)

1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-2000

1710 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 362-2800

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-2966

701 N 1St St
Springfield, IL 62781-3757
Phone (217) 788-3156

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0361409383ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Iems Physician Services PLLC Emergency Medicine CurrentSince Apr 20, 2024 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Clarksville Emergency Group, PC Emergency Medicine CurrentSince Dec 6, 2023 Accepting new patients
Epss LLC - Central Series Emergency Medicine CurrentSince Feb 15, 2023 Accepting new patients
Epss Peoria LLC Emergency Medicine CurrentSince Feb 15, 2023 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2024 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Sep 30, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1710 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-2800

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Organizations & group practices 12

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353110400000",
    "number": "1164496865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST",
            "address_2": "EMERGENCY DEPT",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264163",
            "telephone_number": "217-876-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST",
            "address_2": "EMERGENCY DEPT",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264163",
            "telephone_number": "217-876-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2012-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "0361409383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109383001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE ILLINOIS",
            "identifier": "IL0181",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCILLINOIS",
            "identifier": "036109383",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHS",
            "identifier": "225150",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00053389",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1582965",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCWELLMARK 7TH",
            "identifier": "93334",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCWELLMARK WEST",
            "identifier": "93378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.