Active NPI
Manuel Le-Yeng San, D.O.
- Family Medicine Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2006029319
- Practice address
- 2101 Corona Rd Ste 102
Columbia, MO 65203-2582 - Phone
- (573) 234-1800
- Fax
- (573) 234-1799
- NPI assigned
- May 7, 2007
- Last updated
- Jul 21, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2006029319 | MO | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 2006029319 | MO |
Addresses
Primary practice location
2101 Corona Rd Ste 102
Columbia, MO 65203-2582
Mailing address
2101 Corona Rd Ste 102
Columbia, MO 65203-2582
Phone (573) 234-1800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245443548 | Medicaid | MO | |
| P00770996 | Other | MO | RR MEDICARE PTAN |
| 207024605 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | manuel.san@BHM.gehrimeddirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11278 Schuetz Rd
Saint Louis, MO 63146-4957
Phone (337) 991-9276
403 W Main St
Good Samaritan Nursing Home
Cole Camp, MO 65325-1144
Phone (737) 226-6700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006029319 | MO | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CH Specialty Services Mo LLC | Current | Accepting new patients | |
| Barnes Health LLC | Current | Accepting new patients | |
| Barnes Health Care Management Group LLC | Current | Accepting new patients | |
| Fast Track Medical LLC | Current | Accepting new patients | |
| Fast Track Medical LLC | Current | Accepting new patients | |
| Fast Track Urgent Care LLC | Current | Accepting new patients | |
| Bel Oak of Country View LLC | Past | Accepting new patients | |
| Country View Nursing Facility, Inc. | Past | Accepting new patients | |
| The Estates of Spanish Lake, LLC | Past | Accepting new patients | |
| Geriatric Healthcare Services, LLC | Past | Accepting new patients | |
| The Estates of St. Louis, LLC | Past | Accepting new patients | |
| NBH1 Mtopco LLC | Past | Accepting new patients | |
| Brook View Nursing Home, Inc. | Past | Accepting new patients | |
| Community Care Center of Louisiana, Inc | Past | Accepting new patients | |
| Mercy Clinic Palliative Care, LLC | Past | Accepting new patients | |
| St Charles Opco LLC | Past | Accepting new patients | |
| Geriatric Health Services, Inc. | Geriatric Medicine | Past | Accepting new patients |
| Bel Oak of Lemay LLC | Past | Accepting new patients | |
| Windsor Estates of St Charles Snal, LLC | Past | Accepting new patients | |
| Community Care Center of Mark Twain Inc | Past | Accepting new patients | |
| NBH2 Mgopco LLC | Past | Accepting new patients | |
| Fast Track Medical LLC | Past | Accepting new patients | |
| Bel Oak of Mark Twain, LLC | Past | Accepting new patients |
Locations
2106 W Main St
Bowling Green, MO 63334
Phone (573) 324-2216
403 W Main St
Cole Camp, MO 65325
Phone (660) 668-4515
2101 Corona Rd
Ste 102
Columbia, MO 65203
Phone (573) 234-1800
2686 N Highway 67
Florissant, MO 63033
Phone (314) 436-9300
1734 Market St
Hannibal, MO 63401
Phone (573) 221-2930
1333 Scenic Dr
Herculaneum, MO 63048
Phone (636) 931-2995
3980 E Jackson Dr
Independence, MO 64057
Phone (816) 743-4378
11515 Troost Ave
Kansas City, MO 64131
Phone (813) 943-4104
2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161
621 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-1300
7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485
400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200
600 NW Pryor Rd
Lees Summit, MO 64081
Phone (816) 251-8000
2920 Fee Fee Rd
Maryland Hts, MO 63043
Phone (314) 291-0121
620 E Monroe St
Mexico, MO 65265
Phone (573) 582-5000
2041 Silva Ln
Moberly, MO 65270
Phone (660) 263-1894
2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966
11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066
4401 N Hanley Rd
Saint Louis, MO 63134
Phone (314) 521-7471
5701 Chippewa St
Saint Louis, MO 63109
Phone (314) 921-7300
9845 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 736-6100
2800 Highway TT
#Four
Sedalia, MO 65301
Phone (660) 826-8803
1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312
1441 Charic Dr
Wildwood, MO 63021
Phone (636) 394-2522
Interoperability endpoints
- manuel.san@bhm.gehrimeddirect.com
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Country View Nursing | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 1, 2024 Jun 1, 2024 |
| Avenir at Maple Grove | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Oct 1, 2025 Oct 1, 2025 |
| Avenir at Mark Twain | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Oct 1, 2025 Oct 1, 2025 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Country View Nursing
- Skilled Nursing Facility
- Bowling Green, MO
- NPI 1003644733
Adp of the SNF, Operational/Managerial Control
-
dba Avenir at Mark Twain
- Skilled Nursing Facility
- Bridgeton, MO
- NPI 1366327884
Adp of the SNF, Operational/Managerial Control
-
dba Avenir at Maple Grove
- Skilled Nursing Facility
- Louisiana, MO
- NPI 1972488492
Adp of the SNF, Operational/Managerial Control
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.
-
- Internal Medicine Physician
- Lee's Summit, MO
- NPI 1194422253
-
dba Elite Patient Care
- Family Medicine Physician
- Lee's Summit, MO
- NPI 1306165337
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, MO
- NPI 1396999686
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, MO
- NPI 1275219073
-
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1568770626
-
- Urgent Care Clinic/Center
- Florissant, MO
- NPI 1588062491
-
- Urgent Care Clinic/Center
- Florissant, MO
- NPI 1912150467
-
dba Country View Nursing
- Skilled Nursing Facility
- Bowling Green, MO
- NPI 1003644733
-
dba Mark Twain Manor
- Skilled Nursing Facility
- Bridgeton, MO
- NPI 1992410559
-
dba StoneBridge Maryland Heights
- Skilled Nursing Facility
- Maryland Heights, MO
- NPI 1366449811
-
dba Maple Grove Lodge
- Skilled Nursing Facility
- Louisiana, MO
- NPI 1477550911
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Country View Nursing
- Skilled Nursing Facility
- Bowling Green, MO
- NPI 1003644733
Nursing home
-
dba Lemay Nursing
- Skilled Nursing Facility
- Saint Louis, MO
- NPI 1700614435
Nursing home
-
dba Community Loving Care Hospice
- Community Based Hospice Care Agency
- Wentzville, MO
- NPI 1417252529
-
dba Three Oaks Hospice
- Community Based Hospice Care Agency
- Creve Coeur, MO
- NPI 1871999698
-
dba Avenir at Mark Twain
- Skilled Nursing Facility
- Bridgeton, MO
- NPI 1366327884
Nursing home
-
dba Avenir at Maple Grove
- Skilled Nursing Facility
- Louisiana, MO
- NPI 1972488492
Nursing home
-
- Critical Access Hospital
- Louisiana, MO
- NPI 1205837218
-
dba Gentiva
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1649265166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1245443548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 CORONA RD STE 102",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652032582",
"telephone_number": "573-234-1800",
"fax_number": "573-234-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 CORONA RD STE 102",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652032582",
"telephone_number": "573-234-1800",
"fax_number": "573-234-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAN",
"first_name": "MANUEL",
"middle_name": "LE-YENG",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2006029319",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "MO",
"license": "2006029319",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245443548",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "P00770996",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207024605",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "manuel.san@BHM.gehrimeddirect.com",
"affiliation": "N",
"address_1": "2101 Corona Rd Ste 102",
"city": "Columbia",
"state": "MO",
"country_code": "US",
"postal_code": "652032582",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.