Individual provider Active NPI

Robert Reagan McLeroy, MD

  • Family Medicine Physician
  • Gainesville, TX
National Provider Identifier
1356320147
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E7460 Issued in TX
Practice address
1625 N Grand Ave
Gainesville, TX 76240-2343
Phone
(940) 665-9863
Fax
(940) 668-8986
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E7460 TX Primary

Addresses

Primary practice location

1625 N Grand Ave
Gainesville, TX 76240-2343

Mailing address

PO Box 1239
Gainesville, TX 76241-1239
Phone (940) 665-9863

Other identifiers 3

IdentifierTypeStateIssuer
080178244OtherTXRR MEDICARE
00KN38OtherTXBCBS
112085901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000271 TX Practitioner - Family Practice 0345365862

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E7460TXMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: robertmcleroy@mlgk.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1356320147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762411239",
            "telephone_number": "940-665-9863",
            "fax_number": "940-668-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402343",
            "telephone_number": "940-665-9863",
            "fax_number": "940-668-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEROY",
        "first_name": "ROBERT",
        "middle_name": "REAGAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E7460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080178244",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00KN38",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112085901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

Verify at the official NPI Registry.