Active NPI
Fei-Tung Leu, MD
- Pediatrics Physician
- East Alton, IL
National Provider Identifier
1326104118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036051028
- Practice address
- 2 Terminal Dr
Suite 8
East Alton, IL 62024-2268 - Phone
- (618) 259-1419
- Fax
- (618) 259-1502
- NPI assigned
- Dec 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036051028 | IL | Primary |
Addresses
Primary practice location
2 Terminal Dr
Suite 8
East Alton, IL 62024-2268
Mailing address
2 Terminal Dr
Suite 8
East Alton, IL 62024-2268
Phone (618) 259-1419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036051028 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036051028 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1326104118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TERMINAL DR",
"address_2": "SUITE 8",
"city": "EAST ALTON",
"state": "IL",
"postal_code": "620242268",
"telephone_number": "618-259-1419",
"fax_number": "618-259-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TERMINAL DR",
"address_2": "SUITE 8",
"city": "EAST ALTON",
"state": "IL",
"postal_code": "620242268",
"telephone_number": "618-259-1419",
"fax_number": "618-259-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEU",
"first_name": "FEI-TUNG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036051028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036051028",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Alton, IL
- Kayclarken & Shelby LLC (SafeCare Madison Transport)
- Kay Lynn Koller, CCC-SLP, M.S.
- Eric M Langenwalter, D.M.D., M.S.
- Emily Lautz
- Jeffrey M Lautz, DMD
- Lincare Inc (Medical West Respiratory Services)
- Dana Sue Livingston, RPH
- M-Lab Enterprises,LTD.
- Mangi Chiropractic & Acupuncture, Inc.
- Andrea M. Mangi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.