Active NPI
Patrick Doyle Leidig, M.D.
- Urology Physician
- Concord, NC
National Provider Identifier
1659768158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2018-03061
- Practice address
- 1085 NE Gateway CT NE Ste 100
Concord, NC 28025-2411 - Phone
- (704) 707-2200
- Fax
- (704) 707-2203
- NPI assigned
- Apr 22, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2018-03061 | NC | Primary |
Addresses
Primary practice location
1085 NE Gateway CT NE Ste 100
Concord, NC 28025-2411
Mailing address
1085 NE Gateway CT NE
Concord, NC 28025-2406
Phone (704) 944-6330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230105002595 | GA | Practitioner - Urology | 1658664248 | |
| I20260611001279 | NC | Practitioner - Urology | 1658664248 |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- George Washington University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1085 NE Gateway CT NE
Suite 100
Concord, NC 28025-2407
Phone (704) 707-2200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-03061 | NC | MD | Urology Physician |
Organizations & group practices 1
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.
-
- Urology Physician
- Charlotte, NC
- NPI 1669404208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1659768158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1085 NE GATEWAY CT NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252406",
"telephone_number": "704-944-6330",
"fax_number": "704-707-2203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 NE GATEWAY CT NE STE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252411",
"telephone_number": "704-707-2200",
"fax_number": "704-707-2203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIDIG",
"first_name": "PATRICK",
"middle_name": "DOYLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-22",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "2018-03061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.