Active NPI
Wilbert M. Leonard, D.P.M.
- Podiatrist
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016004981
- Practice address
- 2708 McGraw Dr
Bloomington, IL 61704-6012 - Phone
- (309) 663-2306
- Fax
- (309) 662-1213
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016004981 | IL | Primary |
Addresses
Primary practice location
2708 McGraw Dr
Bloomington, IL 61704-6012
Mailing address
2708 McGraw Dr
Bloomington, IL 61704-6012
Phone (309) 663-2306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016004981 | Medicaid | IL |
Other names 1
- Marc Leonard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 E College Ave
Bloomington, IL 61704-2101
Phone (309) 664-3130
2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311
2500 W Reynolds St
Pontiac, IL 61764-9774
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Osf Home Health-Eastern Region
- St Joseph Medical Center
- Saint James Hospital
- Osf Saint Elizabeth MDL Ctr
- Warner Hospital and Health Services
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 266 |
| Removal of skin lesions | 13 |
| Removal of nail tissue | 99 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016004981 | IL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
1701 E College Ave
Bloomington, IL 61704
Phone (309) 664-3000
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
2500 W Reynolds St
Ste 207203205206
Pontiac, IL 61764
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clinton, IL
- NPI 1235211301
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- General Acute Care Hospital
- Pontiac, IL
- NPI 1407808090
-
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
-
- Home Health Agency
- Bloomington, IL
- NPI 1851330203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1710098652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 MCGRAW DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617046012",
"telephone_number": "309-663-2306",
"fax_number": "309-662-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 MCGRAW DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617046012",
"telephone_number": "309-663-2306",
"fax_number": "309-662-1213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "WILBERT",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016004981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016004981",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARC",
"last_name": "LEONARD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.