Individual provider Active NPI

Leo L Shue, MD

  • Allergy Physician
  • Rockville, MD
National Provider Identifier
1477544344
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
D60557 Issued in MD
Practice address
2401 Research Blvd 350
Rockville, MD 20850-6211
Phone
(301) 330-6983
Fax
(301) 330-6984
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0060557 MD
Allergy Physician 207KA0200X D60557 MD Primary

Addresses

Primary practice location

2401 Research Blvd 350
Rockville, MD 20850-6211

Mailing address

4720 Hornbeam Dr
Rockville, MD 20853-1419
Phone (301) 570-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040224001303 DC Practitioner - Allergy/Immunology 7618863879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Howard University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2401 Research Blvd
Suite 350
Rockville, MD 20850-6211
Phone (301) 330-6983

Hospital & facility affiliations

  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D60557MDMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Allergy and Asthma, LLC Allergy CurrentSince Aug 21, 2010 Accepting new patients
Inpatient Specialists PA Internal Medicine Past Accepting new patients
Matrix House Physicians PA Internal Medicine Past Accepting new patients

Locations

2401 Research Blvd
Ste 350
Rockville, MD 20850
Phone (301) 330-0468

15825 Shady Grove Rd
Ste 60
Rockville, MD 20850
Phone (202) 701-0060

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 1

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1477544344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 HORNBEAM DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208531419",
            "telephone_number": "301-570-9700",
            "fax_number": "301-260-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506211",
            "telephone_number": "301-330-6983",
            "fax_number": "301-330-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUE",
        "first_name": "LEO",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0060557",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MD",
            "license": "D60557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.