NPIMap

Individual provider Active NPI

John Robert Leuenberger, DO

  • Family Medicine Physician
  • Lyons Falls, NY
National Provider Identifier
1366736902
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
265720 Issued in NY
Practice address
3926 State Route 12
Lyons Falls, NY 13368
Phone
(315) 348-8407
Fax
(315) 348-4162
NPI assigned
May 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 265720 NY
Family Medicine Physician 207Q00000X DO2422 ME
Family Medicine Physician 207Q00000X 265720 NY Primary

Addresses

Primary practice location

3926 State Route 12
Lyons Falls, NY 13368

Mailing address

PO Box 247
Lyons Falls, NY 13368-0247
Phone (315) 348-8407

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807013486 NY Practitioner - Family Practice 2860622099 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVHS Inc 330 clinicians
Lewis County 39 clinicians

Practice addresses (Care Compare)

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-6000

3926 State Route 12
Lyons Falls, NY 13368-1919
Phone (315) 348-8407

7785 N State St
Lowville, NY 13367-1229

9559 Main St
Beaver Falls, NY 13305-0000
Phone (315) 346-6824

9732 State Route 12
Copenhagen, NY 13626-2906
Phone (315) 688-2305

Hospital & facility affiliations

  • Lewis County General Hospital Chha Home health agency, Lowville, NY, CCN 337136
  • Lewis County General Hospital Hospice Hospice, Lowville, NY, CCN 331540
  • Lewis County General Hospital Hospital, Lowville, NY, CCN 331317
  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215
  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County General Hospital Family Medicine CurrentSince Mar 6, 2018 Accepting new patients
MVHS Inc CurrentSince Dec 30, 2023 Accepting new patients
MVHS Inc Family Medicine CurrentSince Dec 30, 2023 Accepting new patients
Lewis County General Hospital Current Accepting new patients
Lewis County General Hospital Family Medicine CurrentSince Mar 6, 2018 Accepting new patients
Lewis County General Hospital Family Medicine CurrentSince Aug 10, 2015 Accepting new patients
Lewis County CurrentSince Aug 10, 2015 Accepting new patients
Lewis County Past Accepting new patients

Locations

9732 State Route 12
Copenhagen, NY 13626
Phone (315) 668-2305

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

3926 State Route 12
Lyons Falls, NY 13368
Phone (315) 348-8407

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

120 Hobart St
Utica, NY 13501
Phone (315) 798-1149

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

Interoperability endpoints

  • Direct secure messaging: jleuenberger@hiemail.healtheconnections.org
  • Direct secure messaging: jleuenberger22401@mvhealthsystem.direct-ci.com

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1366736902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "LYONS FALLS",
            "state": "NY",
            "postal_code": "133680247",
            "telephone_number": "315-348-8407",
            "fax_number": "315-348-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3926 STATE ROUTE 12",
            "city": "LYONS FALLS",
            "state": "NY",
            "postal_code": "13368",
            "telephone_number": "315-348-8407",
            "fax_number": "315-348-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUENBERGER",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "265720",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO2422",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "265720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyons Falls, NY

Sources for this page

Verify at the official NPI Registry.