Glenn Taylor Leonard Jr., M.D.

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

240624-1 Issued in NY

Practice address

936 Delaware Ave
Suite 100
Buffalo, NY 14209-1804

Phone

(716) 885-5437

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pediatric CardiologyGroup PAC ID 3870490139, 14 clinicians

Pediatric Cardiology Associates, LLCGroup PAC ID 1153383773, 7 clinicians

Pediatric Cardiology Associates of Wny LLCGroup PAC ID 2062496623, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glennleonard@pedcardwny.medentdirect.com
• Direct secure messaging: gleonard6642@direct.urmc.rochester.edu

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.

• Pediatric Cardiology

  • Pediatric Adolescent Medicine Physician
  • Rochester, NY
  • NPI 1316986391

  Pediatric Cardiology

  Medicare reassignment Care Compare group NPD
• Pediatric Cardiology Associates of Wny, LLC

  • Pediatric Cardiology Physician
  • Buffalo, NY
  • NPI 1518023613
  Medicare reassignment Care Compare group NPD
• Pediatric Cardiology Associates, LLC

  • Pediatric Cardiology Physician
  • Syracuse, NY
  • NPI 1932258985
  Medicare reassignment Care Compare group NPD
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Medicare reassignment NPD
• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  Medicare reassignment NPD
• Mount St. Mary'S Hospital of Niagara Falls

  • General Acute Care Hospital
  • Lewiston, NY
  • NPI 1043394745
  Medicare reassignment NPD
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Medicare reassignment NPD
• University at Buffalo Pediatric Associates Inc

  • Pediatrics Physician
  • Buffalo, NY
  • NPI 1912928599
  Medicare reassignment NPD
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1427007046
  NPD
• Kaleida Health

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1992540546
  NPD
• Mercy Hospital of Buffalo

  • Skilled Nursing Facility
  • Buffalo, NY
  • NPI 1144262908
  NPD
• Mount St. Mary'S Hospital of Niagara Falls

  • General Acute Care Hospital
  • Lewiston, NY
  • NPI 1417285891
  NPD

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1194766659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6313 EVERWOOD CT S",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512031",
            "telephone_number": "716-713-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 DELAWARE AVE",
            "address_2": "SUITE 100",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091804",
            "telephone_number": "716-885-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "GLENN",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NC",
            "license": "200400902",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME80507",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": "240624",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": "240624-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gleonard6642@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gleonard6642@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Lenz, PA-C
• Gabrielle Maria Leo
• Gary Louis Leo, R.PH.
• Raphael Jerome Leo, MD
• Ernesto Leon Velarde Carreno, M.D
• Kathryn Leonard, LCSW
• Lashandra Leonard
• Takesha La'Shawn Leonard, NP
• Amanda Leonardi, CCC-SLP
• Martha Claire Leong, MD

• Pediatric Cardiology Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Pediatric Cardiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.
• 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.

Verify at the official NPI Registry.