Individual provider Active NPI

Leng Xiong, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pewaukee, WI
National Provider Identifier
1376160366
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1318-25 Issued in WI
Practice address
2835 N Grandview Blvd Ste 300
Pewaukee, WI 53072-5591
Phone
(262) 542-3779
Fax
(262) 542-3355
NPI assigned
Jun 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC007123 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 1318-25 WI Primary

Addresses

Primary practice location

2835 N Grandview Blvd Ste 300
Pewaukee, WI 53072-5591

Mailing address

2835 N Grandview Blvd Ste 300
Pewaukee, WI 53072-5591
Phone (262) 542-3779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816000055 WI Practitioner - Podiatry 2466814967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Associates of Wi LTDGroup PAC ID 3779500442, 7 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

2835 N Grandview Blvd
Suite 300
Pewaukee, WI 53072-5591
Phone 26254237794

W231 N1440 Corporate Court
Waukesha, WI 53186-1303
Phone (262) 896-6070

Hospital & facility affiliations

  • Waukesha Memorial Hospital Hospital, Waukesha, WI, CCN 520008
  • Aurora Medical Center - Summit Hospital, Summit, WI, CCN 520206
  • Oconomowoc Memorial Hospital Hospital, Oconomowoc, WI, CCN 520062
  • Rehabilitation Hospital of Wisconsin Inpatient rehabilitation facility, Waukesha, WI, CCN 523027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue269
Removal of skin lesions19
Removal of nail tissue483
Removal or shaving of skin growth281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC007123PAMDFoot & Ankle Surgery Podiatrist
1318-25WIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Sep 6, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 6, 2023 Accepting new patients
Foot and Ankle Associates of Wi LTD Foot & Ankle Surgery CurrentSince Aug 1, 2023 Accepting new patients

Locations

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2835 N Grandview Blvd
Ste 300
Pewaukee, WI 53072
Phone (262) 542-3779

2835 N Grandview Blvd
Pewaukee, WI 53072
Phone (262) 395-4015

W231N1440 Corporate Ct
Waukesha, WI 53186
Phone (262) 896-6000

Interoperability endpoints

  • Direct secure messaging: lxiong164533@direct.phci.org

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1376160366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 N GRANDVIEW BLVD STE 300",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725591",
            "telephone_number": "262-542-3779",
            "fax_number": "262-542-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N GRANDVIEW BLVD STE 300",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725591",
            "telephone_number": "262-542-3779",
            "fax_number": "262-542-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIONG",
        "first_name": "LENG",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007123",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "1318-25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

Verify at the official NPI Registry.