Individual provider Active NPI

Leroy Wilson McCune, M.D.

  • Family Medicine Physician
  • Hamburg, NY
National Provider Identifier
1497741391
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
158075 Issued in NY
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

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000510096007OtherNYBC/BS
00903104MedicaidNY
0105775OtherNYIHA
151123BFOtherNYPREFERRED CARE
00010113905OtherNYUNIVERA
040511000242OtherNYFIDELIS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060929000424 NY Practitioner - Family PracticePractitioner - Geriatric Medicine 0345136628 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158075NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Medical Group, PLLC CurrentSince Mar 17, 2024 Accepting new patients
Autumn View Health Care Facility LLC Past Accepting new patients
Geriatric Associates, LLP PastSince Jul 25, 2019 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.

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

Verify at the official NPI Registry.