Individual provider Active NPI

Louis A Leskosky, M.D.

  • Diagnostic Radiology Physician
  • Marion, IL
National Provider Identifier
1295777563
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036-122191 Issued in IL
Practice address
2401 W Main St
Marion, IL 62959-1188
Phone
(618) 997-5311
NPI assigned
Jun 12, 2006
Last updated
May 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036-122191 IL Primary
Diagnostic Radiology Physician 2085R0202X 34939 KY
Diagnostic Radiology Physician 2085R0202X 25MA12169000 NJ

Addresses

Primary practice location

2401 W Main St
Marion, IL 62959-1188

Mailing address

2401 W Main St
Marion, IL 62959-1188
Phone (618) 997-5311

Other practice location 1

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

Other practice location 2

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

Other identifiers 4

IdentifierTypeStateIssuer
000000574645OtherKYANTHEM BCBS
P01002604OtherRAILROAD MEDICARE
64439391MedicaidKY
24939OtherKYKY MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, VA, MO, IA, PA, NJ7 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
I20060413000540 KY Practitioner - Diagnostic Radiology 1951310218
I20090424000114 TN Practitioner - Diagnostic Radiology 1951310218 Reassigns benefits to 2 organizations
I20190403002100 VA Practitioner - Diagnostic Radiology 1951310218 Reassigns benefits to 5 organizations
I20200129001304 MO Practitioner - Diagnostic Radiology 1951310218 Reassigns benefits to 1 organization
I20210810003806 IA Practitioner - Diagnostic Radiology 1951310218 Reassigns benefits to 1 organization
I20211122003090 PA Practitioner - Diagnostic Radiology 1951310218 Reassigns benefits to 2 organizations
I20240524000756 NJ Practitioner - Diagnostic Radiology 1951310218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Medical Group LLCGroup PAC ID 6204145642, 29 clinicians
Radiology Associates of Murray PLLCGroup PAC ID 6608818828, 9 clinicians
Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians

Practice addresses (Care Compare)

2701 Dekalb Pike
2ND
East Norriton, PA 19401-1820
Phone (610) 275-1028

460 Eden Roc Cir
Apt 102
Virginia Beach, VA 23451-5492
Phone (610) 275-7240

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-122191ILMDDiagnostic Radiology Physician
25MA12169000NJMDDiagnostic Radiology Physician
727MTMDOccupational Therapist
16543TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Multispecialty Group Diagnostic Radiology CurrentSince Apr 20, 2024 Accepting new patients
Keokuk County Health Center CurrentSince Jun 1, 2021 Accepting new patients
Millcreek Community Hospital Diagnostic Radiology CurrentSince Oct 4, 2021 Accepting new patients
Bath County Community Hospital CurrentSince Mar 22, 2021 Accepting new patients
Radiology Associates of Murray, PLLC Diagnostic Radiology CurrentSince Nov 2, 2024 Accepting new patients
Millcreek Community Hospital Current Accepting new patients
Missouri Delta Medical Center CurrentSince Jan 1, 2020 Accepting new patients
Millcreek Community Hospital CurrentSince Oct 4, 2021 Accepting new patients
Missouri Delta Medical Center CurrentSince Jan 1, 2020 Accepting new patients
Dynamic Radiology Tennessee, PC Diagnostic Radiology CurrentSince Apr 15, 2024 Accepting new patients
Keokuk County Health Center CurrentSince Jun 1, 2021 Accepting new patients
USA Radiology Management Solutions LLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Suburban Medical Group LLC CurrentSince Mar 18, 2022 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Jan 25, 2019 Accepting new patients
Bath County Community Hospital CurrentSince Mar 22, 2021 Accepting new patients
Pin Point Radiology Practice Group, PA Diagnostic Radiology Past Accepting new patients
Radiology Group of Paducah PSC Diagnostic Radiology PastSince Jun 12, 2022 Accepting new patients
Radiology Montana, PC Diagnostic Radiology PastSince Sep 8, 2019 Accepting new patients
Martin Clinic Corp Past Accepting new patients
West End Imaging, PLLC Diagnostic Radiology PastSince Jan 1, 2011 Accepting new patients
Enps Mercy Primary Care at Plymouth Meeting PastSince Apr 12, 2022 Accepting new patients
National Imaging Specialists PLLC Diagnostic Radiology Past Accepting new patients
Baptist Healthcare System, Inc Past Accepting new patients

Locations

23019 Highway 149
Sigourney, IA 52591
Phone (641) 622-2720

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

1325 Highway 76
Clarksville, TN 37043
Phone (615) 788-9324

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

919 Conference Dr
Ste 4
Goodlettsvlle, TN 37072
Phone (615) 788-9324

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

125 Buena Vista Cir
South Hill, VA 23970
Phone (434) 774-2400

Organizations & group practices 23

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 23

Hospital & facility affiliations 5

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1295777563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W MAIN ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591188",
            "telephone_number": "618-997-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W MAIN ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591188",
            "telephone_number": "618-997-5311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESKOSKY",
        "first_name": "LOUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-122191",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "34939",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA12169000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000574645",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01002604",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64439391",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAL LICENSE",
            "identifier": "24939",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.