Individual provider Active NPI

Man Kong Leung, M.D.

  • Neurology Physician
  • Pleasanton, CA
National Provider Identifier
1184760969
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A74902 Issued in CA
Practice address
4466 Black Ave Ste a
Pleasanton, CA 94566-6130
Phone
(925) 600-8220
Fax
(925) 600-8221
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A74902 CA Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X A74902 CA
Clinical Neurophysiology Physician 2084N0600X A74902 CA

Addresses

Primary practice location

4466 Black Ave Ste a
Pleasanton, CA 94566-6130

Mailing address

4466 Black Ave Ste a
Pleasanton, CA 94566-6130
Phone (925) 600-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20050126000492 CA Practitioner - NeurologyPractitioner - Sleep Medicine 0941250377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
University of Wisconsin School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4466 Black Ave
Suite a
Pleasanton, CA 94566-6130
Phone (925) 600-8220

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A74902CAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Man Kong Leung MD Inc Neurology CurrentSince Dec 1, 2004 Accepting new patients
John Muir Health Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
Mission Hospital, Inc. Past Accepting new patients

Locations

4466 Black Ave
Ste A
Pleasanton, CA 94566
Phone (925) 600-8220

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1184760969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 BLACK AVE STE A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666130",
            "telephone_number": "925-600-8220",
            "fax_number": "925-600-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 BLACK AVE STE A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666130",
            "telephone_number": "925-600-8220",
            "fax_number": "925-600-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "MAN KONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A74902",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "A74902",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "A74902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.