Organization Active NPI

Herman G Leong M D P a

  • Otolaryngology Physician
  • Victoria, TX
National Provider Identifier
1689952970
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
HERMAN G LEONG M D P A
Practice address
117 Medical Dr
Suite 1
Victoria, TX 77904-3114
Phone
(361) 573-4331
Fax
(361) 573-5096
NPI assigned
Aug 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Herman G Leong, M.D.NPI 1881721801
Title
Owner
Phone
(361) 573-4331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

117 Medical Dr
Suite 1
Victoria, TX 77904-3114

Mailing address

117 Medical Dr
Ste 1
Victoria, TX 77904-3114
Phone (361) 573-4331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110926000606 TX Part B Supplier - Clinic/Group Practice 9234300104 Receives reassigned benefits from 3 practitioners
Practice locations: Victoria, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1689952970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MEDICAL DR",
            "address_2": "STE 1",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043114",
            "telephone_number": "361-573-4331",
            "fax_number": "361-573-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MEDICAL DR",
            "address_2": "SUITE 1",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043114",
            "telephone_number": "361-573-4331",
            "fax_number": "361-573-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMAN G LEONG M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "LEONG",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-573-4331",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.