Individual provider Active NPI

Wesley Leroy Harris, M.D.

  • Surgery Physician
  • Leesburg, VA
National Provider Identifier
1336156181
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101263795 Issued in VA
Practice address
44045 Riverside Pkwy Ste 100
Leesburg, VA 20176-5101
Phone
(703) 858-8878
Fax
(703) 858-8170
NPI assigned
Aug 2, 2006
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101263795 VA Primary
Surgery Physician 208600000X 2000169652 MO
Surgery Physician 208600000X 036114896 IL
Surgery Physician 208600000X 24649 WV

Addresses

Primary practice location

44045 Riverside Pkwy Ste 100
Leesburg, VA 20176-5101

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

203 E 4th Ave Ste C
Ranson, WV 25438-1617
Phone (304) 264-9202

Other practice location 2

44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000

Other practice location 3

44055 Riverside Pkwy Ste 238
Leesburg, VA 20176-5178
Phone (703) 858-8878

Other identifiers 1

IdentifierTypeStateIssuer
3810022393MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120215000386 WV Practitioner - General Surgery 1557256773 Reassigns benefits to 1 organization
I20180712002266 VA Practitioner - General Surgery 1557256773 Reassigns benefits to 1 organization

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
036114896ILMDSurgery Physician
2000169652MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Physicians Inc CurrentSince Jan 1, 2013 Accepting new patients
University Healthcare Physicians, Inc. Surgery CurrentSince Jan 1, 2013 Accepting new patients
Inova Health Care Services CurrentSince Mar 8, 2022 Accepting new patients
Inova Health Care Services CurrentSince Mar 8, 2022 Accepting new patients
Granite City Clinic Corp Past Accepting new patients
Mineral Area Osteopathic Hospital Inc Past Accepting new patients
Farmington Clinic Company, LLC Past Accepting new patients
Premier Trauma and Surgical Specialists LLC PastSince Feb 9, 2020 Accepting new patients
Granite City Physicians Corp Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
University Healthcare Physicians, Inc. PastSince Nov 6, 2022 Accepting new patients

Locations

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

44045 Riverside Pkwy
Ste 100
Leesburg, VA 20176
Phone (703) 858-8878

44055 Riverside Pkwy
Ste 238
Leesburg, VA 20176
Phone (703) 858-3070

2000 Foundation Way
Ste 2200
Martinsburg, WV 25401
Phone (304) 596-6900

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202

201 E 5th Ave
Ste 1
Ranson, WV 25438
Phone (304) 724-7200

203 E 4th Ave
Ste C
Ranson, WV 25438
Phone (304) 264-9202

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1336156181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44045 RIVERSIDE PKWY STE 100",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201765101",
            "telephone_number": "703-858-8878",
            "fax_number": "703-858-8170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 E 4th Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Ranson",
            "state": "WV",
            "postal_code": "254381617",
            "country_code": "US",
            "telephone_number": "304-264-9202",
            "fax_number": "304-264-9042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44045 Riverside Pkwy",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201765101",
            "country_code": "US",
            "telephone_number": "703-858-6000",
            "fax_number": "703-858-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44055 Riverside Pkwy Ste 238",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201765178",
            "country_code": "US",
            "telephone_number": "703-858-8878",
            "fax_number": "703-858-8170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "WESLEY",
        "middle_name": "LEROY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101263795",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2000169652",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036114896",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "24649",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810022393",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.