NPIMap

Individual provider Active NPI

Morgan G Leak, M.D.

  • Internal Medicine Physician
  • Amarillo, TX
National Provider Identifier
1700048006
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P1779 Issued in TX
Practice address
3113 Ross St
Amarillo, TX 79103-2700
Phone
(806) 374-7341
Fax
(806) 322-0533
NPI assigned
Jun 27, 2008
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P1779 TX Primary

Addresses

Primary practice location

3113 Ross St
Amarillo, TX 79103-2700

Mailing address

3113 Ross St
Amarillo, TX 79103-2700
Phone (806) 374-7341

Other identifiers 1

IdentifierTypeStateIssuer
8DD247OtherTXBCBS TX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120329000410 TX Practitioner - Internal Medicine 6608036520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regence Health Network IncGroup PAC ID 5698682557, 24 clinicians

Practice addresses (Care Compare)

125 W Park Ave
Hereford, TX 79045-4201
Phone (806) 364-7688

2801 W 8TH St
Plainview, TX 79072-6737
Phone 80629309212064

3113 Ross St
Amarillo, TX 79103-2700
Phone (806) 374-7341

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P1779TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regence Health Network Inc CurrentSince Jan 19, 2012 Accepting new patients
Regence Health Network Inc Current Accepting new patients
Regence Health Network Inc CurrentSince Jan 19, 2012 Accepting new patients
Concho County Hospital District Past Accepting new patients

Locations

1301 S Coulter St
Ste 200
Amarillo, TX 79106
Phone (806) 322-3273

3113 Ross St
Amarillo, TX 79103
Phone (806) 374-7341

2801 W 8th St
Plainview, TX 79072
Phone (806) 293-0921

Interoperability endpoints

  • Direct secure messaging: morgan.leak.1@12120.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bsa Hospice of the SouthwestAmarillo, TX, CCN 671501 Hospice Contracted Managing Employee Jun 15, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • FMC - Lubbock LLC

    dba BSA Hospice of the Southwest

    • Community Based Hospice Care Agency
    • Amarillo, TX
    • NPI 1467447854

    Contracted Managing Employee

    CMS ownership

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

Hospital & facility affiliations 9

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1700048006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 ROSS ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791032700",
            "telephone_number": "806-374-7341",
            "fax_number": "806-322-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 ROSS ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791032700",
            "telephone_number": "806-374-7341",
            "fax_number": "806-322-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAK",
        "first_name": "MORGAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8DD247",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.