Active NPI
Jeffrey K Leitko, MD
- Diagnostic Radiology Physician
- Hurst, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 052198
- Practice address
- 1845 Precinct Line Rd Ste 209
Second Floor
Hurst, TX 76054-3109 - Phone
- (817) 336-4638
- Fax
- (817) 336-7637
- NPI assigned
- Feb 19, 2007
- Last updated
- Aug 18, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 052198 | GA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | M5813 | TX |
Addresses
Primary practice location
1845 Precinct Line Rd Ste 209
Second Floor
Hurst, TX 76054-3109
Mailing address
1845 Precinct Line Rd Ste 209
Second Floor
Hurst, TX 76054-3109
Phone (817) 336-4638
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M5813 | Other | TX | STATE MEDICAL LICENSE |
| 26572 | Other | OK | STATE MEDICAL LICENSE |
| P00463013 | Other | TX | RR MEDICARE |
| 188618601 | Medicaid | TX | |
| 052198 | Other | GA | STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Diagnostic Radiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
The Woodlands, TX 77382
Phone (281) 742-0469
834 Stewart Dr
Dallas, TX 75208-3947
Phone (312) 724-8477
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052198 | GA | MD | Diagnostic Radiology Physician |
| M5813 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Star CN, LP | Current | Accepting new patients | |
| Medical Clinic of North Texas, PLLC | Current | Accepting new patients | |
| North Star MRI LP | Current | Accepting new patients | |
| North Star FP, LP | Current | Accepting new patients | |
| Gateway Diagnostic Imaging LLC | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| North Star FM, LP | Current | Accepting new patients | |
| Medical Clinic of North Texas PLLC | Current | Accepting new patients | |
| North Star MCD, LLC | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| North Star Diagnostic Imaging, LLC | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Medical Clinic of North Texas, PLLC | Current | Accepting new patients | |
| North Star MRI of Frisco LP | Current | Accepting new patients | |
| North Star NPT LP | Current | Accepting new patients | |
| North Star MCD, LLC | Current | Accepting new patients | |
| Gateway Diagnostic Imaging Sherman, LLC | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Consultants in Radiology PA | Diagnostic Radiology | Current | Accepting new patients |
| North Star GV, LP | Current | Accepting new patients | |
| Touchstone Imaging of Mesquite, LP | Past | Accepting new patients | |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients | |
| North Star Plano Parkway, LP | Past | Accepting new patients |
Locations
801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400
4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 492-1334
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092
1845 Precinct Line Rd
Ste 209
Hurst, TX 76054
Phone (817) 336-4638
900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000
9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180
4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
9950 Woodlands Pkwy
The Woodlands, TX 77382
Phone (281) 719-3333
6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 24
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.
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1629592464
TX
-
- Diagnostic Radiology Physician
- Hurst, TX
- NPI 1922034602
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
dba USMD Physician Services
- Internal Medicine Physician
- Arlington, TX
- NPI 1033167234
-
dba North Star Diagnostic Imaging
- Radiology Clinic/Center
- Carrollton, TX
- NPI 1013305945
-
- Radiology Clinic/Center
- Plano, TX
- NPI 1467787739
-
dba North Star Diagnostic Imaging
- Radiology Clinic/Center
- Dallas, TX
- NPI 1033630835
-
dba North Star Diagnostic Imaging
- Radiology Clinic/Center
- Grapevine, TX
- NPI 1922512664
-
dba North Stat Diagnostic Imaging
- Radiology Clinic/Center
- Plano, TX
- NPI 1295496602
-
dba North Star Diagnostic Imaging
- Radiology Clinic/Center
- Allen, TX
- NPI 1033174701
-
- Radiology Clinic/Center
- Frisco, TX
- NPI 1649356759
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MHHS NW Radiation Therapy
- Radiology Clinic/Center
- Houston, TX
- NPI 1013948553
Hospital
-
dba MHHS Woodlands Outpatient Imaging System
- Radiology Clinic/Center
- The Woodlands, TX
- NPI 1275564858
Hospital
-
dba Memorial Hermann Northeast
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
dba Memorial Hermann Outpatient Imaging-Southwest
- Radiology Clinic/Center
- Houston, TX
- NPI 1407959448
Hospital
-
dba MHHS Friendswood Imaging
- Radiology Clinic/Center
- Friendswood, TX
- NPI 1508896267
Hospital
-
dba MHHS Pearland Outpatient Imaging Center
- Radiology Clinic/Center
- Pearland, TX
- NPI 1669402335
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1659352987
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
dba Lovelace Women's Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1245374537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 PRECINCT LINE RD STE 209",
"address_2": "SECOND FLOOR",
"city": "HURST",
"state": "TX",
"postal_code": "760543109",
"telephone_number": "817-336-4638",
"fax_number": "817-336-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 PRECINCT LINE RD STE 209",
"address_2": "SECOND FLOOR",
"city": "HURST",
"state": "TX",
"postal_code": "760543109",
"telephone_number": "817-336-4638",
"fax_number": "817-336-7637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITKO",
"first_name": "JEFFREY",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "052198",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "M5813",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "M5813",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "26572",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00463013",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188618601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "052198",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
- Kan-Yun Lee, L.AC.
- Yi Kuei Lee, L.AC.
- Richard Collier Leech, D. O.
- Caitlin Judith Leeper, LPC, LCDC
- Andre Maurice Legault, D.D.S.
- Keegan Skye Lepkowski, OTD, OTR
- Brooke Suzanne Lessman, M.S., CCC-SLP
- Valette ----------- Liedtkehendrickson, PH.D.
- Lifetime Family Wellness Inc
- Lifeway Medical Equipment, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.