Active NPI
Leroy Wilson McCune, M.D.
- Family Medicine Physician
- Hamburg, NY
National Provider Identifier
1497741391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 158075
- Practice address
- 4650 Southwestern Blvd.
Hamburg, NY 14075-1465 - Phone
- (716) 648-2450
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 158075 | NY | Primary |
Addresses
Primary practice location
4650 Southwestern Blvd.
Hamburg, NY 14075-1465
Mailing address
2875 Union Rd
Suite 8
Cheektowaga, NY 14227-1465
Phone (716) 651-0911
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000510096007 | Other | NY | BC/BS |
| 00903104 | Medicaid | NY | |
| 0105775 | Other | NY | IHA |
| 151123BF | Other | NY | PREFERRED CARE |
| 00010113905 | Other | NY | UNIVERA |
| 040511000242 | Other | NY | FIDELIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158075 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners Medical Group, PLLC | Current | Accepting new patients | |
| Autumn View Health Care Facility LLC | Past | Accepting new patients | |
| Geriatric Associates, LLP | Past | Accepting new patients |
Locations
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
100 Stahl Rd
Getzville, NY 14068
Phone (716) 688-8822
18215 Hillside Ave
Jamaica, NY 11432
Phone (718) 262-8651
6400 Powers Rd
Orchard Park, NY 14127
Phone (716) 667-0001
Organizations & group practices 4
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.
-
- Family Medicine Physician
- West Seneca, NY
- NPI 1386671816
-
- Geriatric Medicine (Internal Medicine) Physician
- Getzville, NY
- NPI 1184305153
-
- Skilled Nursing Facility
- Hamburg, NY
- NPI 1568459725
-
- Geriatric Medicine (Internal Medicine) Physician
- Williamsville, NY
- NPI 1750348306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1497741391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2875 UNION RD",
"address_2": "SUITE 8",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142271465",
"telephone_number": "716-651-0911",
"fax_number": "716-651-9855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 SOUTHWESTERN BLVD.",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140751465",
"telephone_number": "716-648-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUNE",
"first_name": "LEROY",
"middle_name": "WILSON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "158075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000510096007",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00903104",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "0105775",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "151123BF",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010113905",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040511000242",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.