Individual provider Active NPI

Mauro Kwek Leyba Jr, M.D.

  • Rheumatology Physician
  • Fresno, CA
National Provider Identifier
1730125105
Registry record updated Feb 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A41228 Issued in CA
Practice address
7085 N Chestnut Ave
Suite 109
Fresno, CA 93720-0353
Phone
(559) 299-2600
Fax
(559) 299-2854
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A41228 CA Primary

Addresses

Primary practice location

7085 N Chestnut Ave
Suite 109
Fresno, CA 93720-0353

Mailing address

7085 N Chestnut Ave
Suite 109
Fresno, CA 93720-0353
Phone (559) 299-2600

Other identifiers 1

IdentifierTypeStateIssuer
00A412280MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20081118000911 CA Practitioner - RheumatologyPractitioner - Internal Medicine 1759441900 Practice locations: Fresno, CA

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7085 N Chestnut Ave
Suite 109
Fresno, CA 93720-0353
Phone (559) 299-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.37 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A41228CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Center Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Organizations & group practices 2

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 3

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235174400000",
    "number": "1730125105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7085 N CHESTNUT AVE",
            "address_2": "SUITE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200353",
            "telephone_number": "559-299-2600",
            "fax_number": "559-299-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7085 N CHESTNUT AVE",
            "address_2": "SUITE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200353",
            "telephone_number": "559-299-2600",
            "fax_number": "559-299-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYBA JR",
        "first_name": "MAURO",
        "middle_name": "KWEK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A41228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A412280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.