NPIMap

Individual provider Active NPI

Patrick Leong, DO

  • Internal Medicine Physician
  • Somerville, MA
National Provider Identifier
1447237003
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
151924 Issued in MA
Practice address
440 Foley St
Somerville, MA 02145-1213
Phone
(857) 282-0777
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7813 NH
Internal Medicine Physician 207R00000X 151924 MA Primary

Addresses

Primary practice location

440 Foley St
Somerville, MA 02145-1213

Mailing address

440 Foley St
Somerville, MA 02145-1213
Phone (857) 282-0777

Other identifiers 1

IdentifierTypeStateIssuer
30005217MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051029000262 NH Practitioner - General Practice 6103843057 Reassigns benefits to 1 organization
I20220404001227 MA Practitioner - Family Practice 6103843057 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

440 Foley St
Somerville, MA 02145-1213
Phone (857) 282-0777

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7813NHMDFamily Medicine Physician
151924MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Mar 1, 2015 Accepting new patients
The General Hospital Corporation CurrentSince Jul 16, 2023 Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Jul 16, 2023 Accepting new patients
St Joseph Hospital of Nashua NH Family Medicine CurrentSince Mar 1, 2015 Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Internal Medicine PastSince Aug 6, 2023 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

440 Foley St
Somerville, MA 02145
Phone (857) 282-0777

382 Daniel Webster Hwy
Merrimack, NH 03054
Phone (603) 423-0400

4 Dobson Way
Merrimack, NH 03054
Phone (603) 424-4181

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

460 Amherst St
Nashua, NH 03063
Phone (603) 577-8400

Interoperability endpoints

  • Direct secure messaging: leong.patrick.mgh@direct.partners.masshiway.net

Organizations & group practices 7

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 6

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1447237003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 FOLEY ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451213",
            "telephone_number": "857-282-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 FOLEY ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451213",
            "telephone_number": "857-282-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONG",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "7813",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "151924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005217",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.