Active NPI
Christina Yee Yen Leung, MD
- Pediatrics Physician
- Bedford, TX
National Provider Identifier
1508868902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K3920
- Practice address
- 2716 Tibbets Dr
Bedford, TX 76022-6915 - Phone
- (817) 571-6644
- Fax
- (817) 685-7951
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K3920 | TX | Primary |
Addresses
Primary practice location
2716 Tibbets Dr
Bedford, TX 76022-6915
Mailing address
PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-1855
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cleung15074@CookChildrens.direct-ci.com | ||
| Direct Messaging Address | cleung15074@CookChildrens.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|
| K3920 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children'S Physician Network | Pediatrics | Current | Accepting new patients |
| Cook Children'S Physician Network | Pediatrics | Current | Accepting new patients |
| Cook Children'S Medical Center | Past | Accepting new patients |
Locations
2716 Tibbets Dr
Bedford, TX 76022
Phone (817) 283-5511
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
Interoperability endpoints
- cleung15074@cookchildrens.direct-ci.com
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.
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1750369203
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
-
- Clinical Child & Adolescent Psychologist
- Fort Worth, TX
- NPI 1942509963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1508868902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 733784",
"city": "DALLAS",
"state": "TX",
"postal_code": "753733784",
"telephone_number": "682-885-1855",
"fax_number": "682-885-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 TIBBETS DR",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226915",
"telephone_number": "817-571-6644",
"fax_number": "817-685-7951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG",
"first_name": "CHRISTINA",
"middle_name": "YEE YEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K3920",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cleung15074@CookChildrens.direct-ci.com",
"affiliation": "N",
"address_1": "801 7th Ave",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761042733",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cleung15074@CookChildrens.direct-ci.com",
"affiliation": "N",
"address_1": "2716 Tibbets Dr",
"city": "Bedford",
"state": "TX",
"country_code": "US",
"postal_code": "760226915",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.