Individual provider Active NPI

Fah S Leong, MD

  • Diagnostic Radiology Physician
  • Southlake, TX
National Provider Identifier
1184685299
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G86652 Issued in CA
Practice address
2140 E Southlake Blvd # L-824
Southlake, TX 76092-6516
Phone
(068) 236-5517
NPI assigned
Mar 29, 2006
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 22746 OK
Diagnostic Radiology Physician 2085R0202X C1-0027653 DE
Diagnostic Radiology Physician 2085R0202X 036172895 IL
Diagnostic Radiology Physician 2085R0202X G86652 CA Primary
Diagnostic Radiology Physician 2085R0202X EMC0006147 MI
Diagnostic Radiology Physician 2085R0202X L4523 TX

Addresses

Primary practice location

2140 E Southlake Blvd # L-824
Southlake, TX 76092-6516

Mailing address

2140 E Southlake Blvd # L-824
Southlake, TX 76092-6516
Phone (806) 236-5517

Other practice location 1

4755 Ogletown Stanton Rd
Newark, DE 19718-6516
Phone (302) 733-1840

Other practice location 2

1850 Hyland Dr
Portland, MI 48875-8508
Phone (517) 364-5650

Other practice location 3

1600 W Grand River Ave Ste 3
Okemos, MI 48864-2394
Phone (517) 364-5650

Other practice location 4

2909 E Grand River Ave Ste 103
Lansing, MI 48912-4335
Phone (517) 364-5650

Other practice location 5

1200 E Michigan Ave Fl 1
Lansing, MI 48912-1800
Phone (517) 364-5650

Other practice location 6

321 E Harris St
Charlotte, MI 48813-1629
Phone (517) 364-5650

Other practice location 7

7335 Westshire Dr Ste 100
Lansing, MI 48917-9703
Phone (517) 364-5650

Other practice location 8

800 E Columbia St
Mason, MI 48854-1381
Phone (517) 364-5650

Other practice location 9

406 E Elm St
Carson City, MI 48811-9693
Phone (517) 364-5650

Other practice location 10

3565 S State Rd
Ionia, MI 48846-9416
Phone (517) 364-5650

Other practice location 11

805 S Oakland St Fl 1
Saint Johns, MI 48879-2253
Phone (517) 364-5650

Other practice location 12

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-5650

Other identifiers 6

IdentifierTypeStateIssuer
8F7702OtherTXBLUE CROSS
65050347MedicaidNM
128699100OtherFIRSTCARE
100212100AMedicaidOK
151157802MedicaidTX
MDL4523OtherTXWORKERS COMPENSATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, MI, NM, DE, NY, CA7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20080522000436 TX Practitioner - Diagnostic Radiology 0547340655 Reassigns benefits to 16 organizations
I20250107002874 IL Practitioner - Diagnostic Radiology 0547340655 Reassigns benefits to 6 organizations
I20250109003403 MI Practitioner - Diagnostic Radiology 0547340655 Reassigns benefits to 1 organization
I20250311000303 NM Practitioner - Diagnostic Radiology 0547340655 Reassigns benefits to 2 organizations
I20250319003308 DE Practitioner - Diagnostic Radiology 0547340655 Reassigns benefits to 1 organization
I20250401001271 NY Practitioner - Diagnostic Radiology 0547340655 Reassigns benefits to 2 organizations
I20250520001860 CA Practitioner - Diagnostic Radiology 0547340655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faculty Physicians and Surgeons of LlusmGroup PAC ID 1153227814, shared by 6 NPIs, 1,313 clinicians
Pco PCGroup PAC ID 5395179329, 82 clinicians
Humboldt Park HealthGroup PAC ID 8921907072, 106 clinicians
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians
Bayhealth Radiologists LLCGroup PAC ID 0446601876, 91 clinicians
Lubbock County Hospital DistrictGroup PAC ID 4385538941, 97 clinicians
Central Texas Radiological Associates PAGroup PAC ID 4385740141, 61 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
Thorek Radiology Group NFPGroup PAC ID 1658786421, 41 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians
Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians

Practice addresses (Care Compare)

Southlake, TX 76092
Phone (951) 786-0801

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8227

1215 E Michigan Ave
Unitversity of Michigan Health Spar
Lansing, MI 48912-1811
Phone (517) 364-5650

1339 W Lake St
Addison, IL 60101-1836
Phone (847) 981-5767

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

2140 E Southlake Blvd
L 824
Southlake, TX 76092-6516
Phone (505) 332-6900

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000

301 Watermere Dr
Apt 420
Southlake, TX 76092-8134
Phone (302) 744-7113

301 Watermere Dr Apt
420 Leong Telerad
Southlake, TX 76092-8134
Phone (317) 614-9881

3762 Tibbetts St
Riverside, CA 92506-2605
Phone (951) 686-2224

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 838-3088

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8400

6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000

800 Biesterfield Rd
Elk Grove Village, IL 60007-3361

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 975-6722

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

930 Charles River CT
Allen, TX 75013-5007
Phone (559) 447-4022

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
EMC0006147MIMDDiagnostic Radiology Physician
334417NYMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Rockford Health Physicians Single Specialty CurrentSince Oct 13, 2025 Accepting new patients
Ochiltree Hospital District Single Specialty Current Accepting new patients
Lubbock County Hospital District Single Specialty CurrentSince Feb 5, 2025 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jan 1, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Single Specialty Current Accepting new patients
Oncall Imaging LLC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
Texas Radiology Associates LLP Single Specialty CurrentSince Feb 1, 2019 Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jan 1, 2025 Accepting new patients
Hunt Regional Medical Partners Specialists Single Specialty CurrentSince Oct 1, 2023 Accepting new patients
Bayhealth Radiologists LLC Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
Innovative Health & Wellness LLC Plano Series Diagnostic Radiology CurrentSince Aug 25, 2025 Accepting new patients
Central Valley Community Medical Imaging Single Specialty CurrentSince Oct 20, 2024 Accepting new patients
Innovative Health & Wellness LLC Garland Series Diagnostic Radiology CurrentSince Aug 25, 2025 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Texas Radiology Associates LLP Single Specialty CurrentSince Feb 1, 2019 Accepting new patients
Lubbock County Hospital District Single Specialty Current Accepting new patients
Interfaith Professional Physician Services, P.C. Single Specialty CurrentSince Feb 17, 2025 Accepting new patients
Innovative Health & Wellness LLC McKinney Series Single Specialty CurrentSince Jan 14, 2026 Accepting new patients
Faculty Physicians and Surgeons of Llusm Single Specialty CurrentSince Mar 16, 2025 Accepting new patients
Thorek Radiology Group NFP Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Bonaventure Medical Foundation, LLC Single Specialty CurrentSince May 25, 2025 Accepting new patients
Mercy Health System Corporation Single Specialty CurrentSince Oct 13, 2025 Accepting new patients
Edward W Sparrow Hospital Association Single Specialty Current Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Apr 3, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Oct 13, 2025 Accepting new patients
Riverside Radiology Medical Group Inc Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
On-Line Radiology Medical Group Inc Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Brookdale Hospital Medical Center Single Specialty CurrentSince Apr 3, 2025 Accepting new patients
Humboldt Park Health Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Christiana Care Health Services, Inc Single Specialty Current Accepting new patients
Central Texas Radiological Associates PA Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Innovative Health & Wellness Mesquite Series Single Specialty CurrentSince Jan 14, 2026 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 16, 2025 Accepting new patients
Pco PC Single Specialty CurrentSince Feb 17, 2025 Accepting new patients
Nor-Lea Hospital District Single Specialty CurrentSince Feb 20, 2025 Accepting new patients
Radiology Associates of Albuquerque, PA Single Specialty CurrentSince Feb 20, 2025 Accepting new patients
Innovative Health & Wellness LLC Arlington Series Single Specialty CurrentSince Jan 14, 2026 Accepting new patients
Memorial MRI and Diagnostic LLC Single Specialty CurrentSince Nov 7, 2023 Accepting new patients
Health Imaging Partners, LLC Single Specialty CurrentSince May 3, 2021 Accepting new patients
Utmb Faculty Group Practice Single Specialty CurrentSince Apr 14, 2023 Accepting new patients
Christiana Care Health Services Inc Single Specialty CurrentSince Jan 16, 2025 Accepting new patients
Thorek Memorial Hospital Single Specialty Current Accepting new patients
Silver Creek Radiology Professional Corporation Single Specialty PastSince Sep 15, 2019 Accepting new patients
High Plains Radiological Association LLP Single Specialty Past Accepting new patients
Open Air Imaging Center, LLP Single Specialty PastSince Jan 26, 2020 Accepting new patients
Lansing Radiology Associates P C Single Specialty PastSince Nov 22, 2021 Accepting new patients

Locations (25 of 55)

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

4500 Brockton Ave
Ste 219
Riverside, CA 92501
Phone (951) 276-7550

4510 Brockton Ave
Ste 175
Riverside, CA 92501
Phone (951) 786-5100

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

2741 Paysphere Cir
Chicago, IL 60674

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

8175 Reliable Pkwy
Chicago, IL 60686

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1498

1200 E Michigan Ave
Fl 1
Lansing, MI 48912

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1215 E Michigan Ave
Fl 4
Lansing, MI 48912
Phone (517) 364-3480

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 50

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 50

Hospital & facility affiliations 9

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1184685299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 E SOUTHLAKE BLVD # L-824",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926516",
            "telephone_number": "806-236-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 E SOUTHLAKE BLVD # L-824",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926516",
            "telephone_number": "068-236-5517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197186516",
            "country_code": "US",
            "telephone_number": "302-733-1840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 Hyland Dr",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "MI",
            "postal_code": "488758508",
            "country_code": "US",
            "telephone_number": "517-364-5650",
            "fax_number": "517-364-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 W Grand River Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488642394",
            "country_code": "US",
            "telephone_number": "517-364-5650",
            "fax_number": "517-364-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2909 E Grand River Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489124335",
            "country_code": "US",
            "telephone_number": "517-364-5650",
            "fax_number": "517-364-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 E Michigan Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121800",
            "country_code": "US",
            "telephone_number": "517-364-5650",
            "fax_number": "517-364-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 E Harris St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "MI",
            "postal_code": "488131629",
            "country_code": "US",
            "telephone_number": "517-364-5650",
            "fax_number": "517-364-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7335 Westshire Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489179703",
            "country_code": "US",
            "telephone_number": "517-364-5650",
            "fax_number": "517-364-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Columbia St",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "MI",
            "postal_code": "488541381",
            "country_code": "US",
            "telephone_number": "517-364-5650",
            "fax_number": "517-364-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 E Elm St",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "MI",
            "postal_code": "488119693",
            "country_code": "US",
            "telephone_number": "517-364-5650",
            "fax_number": "517-364-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3565 S State Rd",
            "address_purpose": "LOCATION",
            "city": "Ionia",
            "state": "MI",
            "postal_code": "488469416",
            "country_code": "US",
            "telephone_number": "517-364-5650",
            "fax_number": "517-364-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 S Oakland St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "MI",
            "postal_code": "488792253",
            "country_code": "US",
            "telephone_number": "517-364-5650",
            "fax_number": "517-364-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121811",
            "country_code": "US",
            "telephone_number": "517-364-5650",
            "fax_number": "517-364-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONG",
        "first_name": "FAH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "22746",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0027653",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036172895",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G86652",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "EMC0006147",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L4523",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8F7702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65050347",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "128699100",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212100A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151157802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "MDL4523",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.