Individual provider Active NPI

Shannon T Leu, MD

  • Cardiovascular Disease Physician
  • Saint Augustine, FL
National Provider Identifier
1669445623
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME94806 Issued in FL
Practice address
8595 Saint Johns Pkwy Ste B207
Saint Augustine, FL 32092-2064
Phone
(904) 376-3630
Fax
(904) 618-2143
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME94806 FL Primary
Nuclear Cardiology Physician 207UN0901X ME94806 FL

Addresses

Primary practice location

8595 Saint Johns Pkwy Ste B207
Saint Augustine, FL 32092-2064

Mailing address

PO Box 43667
Jacksonville, FL 32203-3667
Phone (904) 720-0599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060222000138 FL Practitioner - Cardiovascular Disease (Cardiology) 6103889498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Cardiology, Inc.Group PAC ID 2466614581, 98 clinicians

Practice addresses (Care Compare)

14534 Old Saint Augustine Rd
Suite 3420
Jacksonville, FL 32258-2645
Phone (904) 493-8001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME94806FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecg Associates of Jacksonville P a CurrentSince Aug 1, 2007 Accepting new patients
Baptist Cardiology, Inc. Cardiovascular Disease CurrentSince May 1, 2012 Accepting new patients
Provident Emergency Medicine Associates, PC Past Accepting new patients
Baptist Cardiology Inc Cardiovascular Disease Past Accepting new patients

Locations

836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125

14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010

14534 Old Saint Augustine Rd
Ste 3420
Jacksonville, FL 32258
Phone (904) 493-8001

836 Prudential Dr
Ste 700
Jacksonville, FL 32207
Phone (904) 398-0138

1905 Corporate Square Blvd
Jacksonville, FL 32216
Phone (904) 720-0599

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

559 W Twincourt Trl
Unit 601
St Augustine, FL 32095
Phone (904) 493-8383

Interoperability endpoints

  • Direct secure messaging: sleu28113@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1669445623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43667",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322033667",
            "telephone_number": "904-720-0599",
            "fax_number": "904-376-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 SAINT JOHNS PKWY STE B207",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320922064",
            "telephone_number": "904-376-3630",
            "fax_number": "904-618-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEU",
        "first_name": "SHANNON",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME94806",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "FL",
            "license": "ME94806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

Verify at the official NPI Registry.