NPIMap

Individual provider Active NPI

Lawrence M Leon, M.D.

  • Diagnostic Radiology Physician
  • Yankton, SD
National Provider Identifier
1316947922
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3955 Issued in SD
Practice address
1000 W 4TH St Ste 8
Yankton, SD 57078-3700
Phone
(605) 655-1414
Fax
(605) 655-1420
NPI assigned
Jul 26, 2005
Last updated
Oct 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 3955 SD Primary
Diagnostic Radiology Physician 2085R0202X MD-33894 IA

Addresses

Primary practice location

1000 W 4TH St Ste 8
Yankton, SD 57078-3700

Mailing address

1000 W 4TH St Ste 8
Yankton, SD 57078-3700
Phone (605) 655-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050124000929 NE Practitioner - Diagnostic Radiology 4587567466 Reassigns benefits to 1 organization
I20050208000968 SD Practitioner - Diagnostic Radiology 4587567466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Sanford School of Medicine of University of South Dakota, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health ServicesGroup PAC ID 6103729066, 151 clinicians

Practice addresses (Care Compare)

501 Summit St
Yankton, SD 57078-3855
Phone (605) 655-1201

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace Current Accepting new patients
Sacred Heart Health Services CurrentSince Dec 18, 2017 Accepting new patients
Sacred Heart Health Services CurrentSince Dec 18, 2017 Accepting new patients
Avera Queen of Peace CurrentSince Sep 1, 2021 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Avera Queen of Peace CurrentSince Sep 1, 2021 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Sacred Heart Health Services Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Yankton Radiology Prof LLC Diagnostic Radiology PastSince Nov 14, 2005 Accepting new patients

Locations

1503 Main St
Creighton, NE 68729
Phone (402) 358-5700

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1000 W 4th St
Ste 8
Yankton, SD 57078
Phone (605) 655-1201

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Organizations & group practices 9

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.

Hospital & facility affiliations 11

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1316947922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 4TH ST STE 8",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783700",
            "telephone_number": "605-655-1414",
            "fax_number": "605-655-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 4TH ST STE 8",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783700",
            "telephone_number": "605-655-1414",
            "fax_number": "605-655-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "LAWRENCE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SD",
            "license": "3955",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "MD-33894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.