Individual provider Active NPI

Edward Carwile Leroy Jr., MD

  • Spinal Cord Injury Medicine Physician
  • Fresno, CA
National Provider Identifier
1508992660
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X
License
C53624 Issued in CA
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

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090722000665 CA Practitioner - Physical Medicine and Rehabilitation 8921150913 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53624CAMDPharmacist
C53624CAMDSpinal Cord Injury Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E Carwile Leroy Jr MD Inc a Medical Corporation CurrentSince Jul 15, 2009 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.

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

Verify at the official NPI Registry.