Individual provider Active NPI

John Maurice Leahy, MD

  • Diagnostic Radiology Physician
  • Raleigh, NC
National Provider Identifier
1750498200
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
89412 Issued in SC
Practice address
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone
(919) 350-7000
Fax
(919) 350-8959
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2023-00808 NC
Diagnostic Radiology Physician 2085R0202X 41893 WI
Diagnostic Radiology Physician 2085R0202X 89412 SC Primary
Diagnostic Radiology Physician 2085R0202X 0101277884 VA

Addresses

Primary practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Mailing address

5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone (540) 493-4581

Other practice location 1

915 Summit Ave
Oconomowoc, WI 53066-3994
Phone (262) 569-2300

Other practice location 2

2000 Hospital Dr
MT Pleasant, SC 29464-3764
Phone (843) 881-0100

Other practice location 3

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (703) 523-0611

Other practice location 4

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 200-5047

Other names 1

  • John Maurice Leahy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230710000722 SC Practitioner - Diagnostic Radiology 9931201696 Reassigns benefits to 2 organizations
I20240402002404 NC Practitioner - Diagnostic Radiology 9931201696 Reassigns benefits to 1 organization
I20260512002237 GA Practitioner - Diagnostic Radiology 9931201696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Cincinnati College of Medicine and Surgery, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Cooper Physician Group LLCGroup PAC ID 1254775687, 126 clinicians

Practice addresses (Care Compare)

880 Island Park Dr
Unit 230
Daniel Island, SC 29492-2902
Phone (843) 380-9330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101277884VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Radiology, LLC Diagnostic Radiology CurrentSince Feb 18, 2024 Accepting new patients
Sentara Medical Group PastSince Jul 21, 2026 Accepting new patients

Locations

150 Parkway Office Ct
Ste 100
Cary, NC 27518

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

5220 Greens Dairy Rd
Raleigh, NC 27616
Phone (540) 493-4581

3200 Blue Ridge Rd
Ste 100
Raleigh, NC 27612
Phone (919) 256-3576

11640 Northpark Dr
Ste 110
Wake Forest, NC 27587

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

Interoperability endpoints

  • Direct secure messaging: jleahy9636@direct.myadvocateaurora.org

Organizations & group practices 6

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 7

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1750498200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 GREENS DAIRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164612",
            "telephone_number": "540-493-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101231",
            "telephone_number": "919-350-7000",
            "fax_number": "919-350-8959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530663994",
            "country_code": "US",
            "telephone_number": "262-569-2300",
            "fax_number": "262-569-2266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294643764",
            "country_code": "US",
            "telephone_number": "843-881-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Opitz Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913311",
            "country_code": "US",
            "telephone_number": "703-523-0611",
            "fax_number": "703-670-2089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Tate Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011109",
            "country_code": "US",
            "telephone_number": "434-200-5047",
            "fax_number": "434-200-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "JOHN",
        "middle_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2023-00808",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "41893",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "89412",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101277884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "LEAHY",
            "middle_name": "MAURICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.