NPIMap

Individual provider Active NPI

Kevin K. Leung, MD

  • Gastroenterology Physician
  • Federal Way, WA
National Provider Identifier
1588847271
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD00049118 Issued in WA
Practice address
33915 1St Way S Ste 200
Federal Way, WA 98003-6396
Phone
(253) 272-5127
NPI assigned
Dec 17, 2007
Last updated
Jun 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD00049118 WA Primary

Addresses

Primary practice location

33915 1St Way S Ste 200
Federal Way, WA 98003-6396

Mailing address

33915 1St Way S Ste 200
Federal Way, WA 98003-6396

Other identifiers 3

IdentifierTypeStateIssuer
P00714041OtherWARR MEDICARE #
8507550MedicaidWA
MD00049118OtherWAWA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080411000410 WA Practitioner - Gastroenterology 6709963952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians

Practice addresses (Care Compare)

33915 1St Way S
Suite 200
Federal Way, WA 98003-6396
Phone (253) 838-9839

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy75
Upper gastrointestinal (GI) endoscopy for acid reflux56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00049118WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Gastroenterology PLLC Gastroenterology CurrentSince Dec 15, 2017 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Dec 15, 2017 Accepting new patients

Locations

33915 1st Way S
Ste 200
Federal Way, WA 98003
Phone (253) 838-9839

34503 9th Ave S
Ste 240
Federal Way, WA 98003
Phone (253) 838-9839

2727 Hollycroft St
Ste 380
Gig Harbor, WA 98335
Phone (253) 858-0112

1301 4th Ave NW
Unit 303
Issaquah, WA 98027
Phone (425) 270-6363

17700 SE 272nd St
#420
Kent, WA 98042
Phone (253) 639-9660

17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660

1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933

1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933

1446 Spaulding Ave
Richland, WA 99352
Phone (509) 420-4588

2202 S Cedar St
Ste 330
Tacoma, WA 98405
Phone (253) 503-2547

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1588847271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33915 1ST WAY S STE 200",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33915 1ST WAY S STE 200",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036396",
            "telephone_number": "253-272-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "KEVIN",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD00049118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE #",
            "identifier": "P00714041",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8507550",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LICENSE",
            "identifier": "MD00049118",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.