Individual provider Active NPI

Leonard Stallings, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1407944309
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036071417 Issued in IL
Practice address
6434 W North Ave
Chicago, IL 60707-4030
Phone
(773) 836-3000
Fax
(773) 836-5980
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036071417 IL Primary

Addresses

Primary practice location

6434 W North Ave
Chicago, IL 60707-4030

Mailing address

29373 Network PL
Chicago, IL 60673-1292
Phone (847) 390-5900

Other practice location 1

5120 W Jackson Blvd
Chicago, IL 60644-4332
Phone (773) 265-4566

Other identifiers 2

IdentifierTypeStateIssuer
275750OtherILMEDICARE
036071417MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lstallings206610@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20071106000744 IL Practitioner - Internal Medicine 6103913280 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aamg Reach PLLC Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Feb 10, 2017 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Feb 10, 2017 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Institute for Behavioral Health PC PastSince Aug 1, 2007 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

3435 W Van Buren St
Chicago, IL 60624
Phone (773) 265-7700

1357 W 103rd St
Chicago, IL 60643
Phone (773) 238-0800

6434 W North Ave
Chicago, IL 60707
Phone (773) 836-3000

29373 Network Pl
Chicago, IL 60673

Interoperability endpoints

  • Direct secure messaging: lstallings206610@direct.myadvocateaurora.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1407944309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731292",
            "telephone_number": "847-390-5900",
            "fax_number": "847-390-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6434 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607074030",
            "telephone_number": "773-836-3000",
            "fax_number": "773-836-5980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5120 W Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606444332",
            "country_code": "US",
            "telephone_number": "773-265-4566",
            "fax_number": "773-265-4566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036071417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "275750",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071417",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lstallings206610@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6434 W North Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "607074030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6434 W North Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "607074030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.