Active NPI
Edward Carwile Leroy Jr., MD
- Spinal Cord Injury Medicine Physician
- Fresno, CA
National Provider Identifier
1508992660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Spinal Cord Injury Medicine Physician
- License
- C53624
- Practice address
- 6594 N 1St St
Suite 103
Fresno, CA 93710-3957 - Phone
- (559) 840-0517
- NPI assigned
- Feb 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Spinal Cord Injury Medicine Physician | 2081P0004X | C53624 | CA | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | C53624 | CA |
Addresses
Primary practice location
6594 N 1St St
Suite 103
Fresno, CA 93710-3957
Mailing address
6594 N 1St St
103
Fresno, CA 93710-3957
Phone (559) 840-0517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6594 N 1St St
Suite 103
Fresno, CA 93710-3957
Phone (559) 840-0517
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.39 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 77.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53624 | CA | MD | Pharmacist |
| C53624 | CA | MD | Spinal Cord Injury Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E Carwile Leroy Jr MD Inc a Medical Corporation | Current | Accepting new patients | |
| San Joaquin Community Hospital | Past | Accepting new patients |
Locations
125 E Barstow Ave
Ste 111
Fresno, CA 93710
Phone (559) 490-1323
6594 N 1st St
Ste 103
Fresno, CA 93710
Phone (559) 840-0517
6594 N 1st St
#103E
Fresno, CA 93710
Phone (559) 840-0517
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Fresno, CA
- NPI 1871724385
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1538157508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1508992660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6594 N 1ST ST",
"address_2": "103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937103957",
"telephone_number": "559-840-0517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6594 N 1ST ST",
"address_2": "SUITE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937103957",
"telephone_number": "559-840-0517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEROY",
"first_name": "EDWARD",
"middle_name": "CARWILE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-25",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "CA",
"license": "C53624",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "C53624",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.