Leon Gu, MD
Individual provider Active NPI Family Medicine Physician · Deforest, WI
NPI 1780260604 · NPPES record last updated Sep 4, 2024
Key facts
- NPI
- 1780260604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 84611-20 (WI)
- Practice address
- 4200 Savannah Dr
Deforest, WI 53532-2909 - Phone
- (608) 417-3300
- NPI assigned
- Mar 22, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meriter Hospital Inc
Practice addresses (Care Compare)
4200 Savannah Dr
De Forest, WI 53532-2909
Phone (608) 417-3300
Hospital & facility affiliations
- Unitypoint Health - Meriter
- University of Wi Hospitals & Clinics Authority
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.59 of 100
- Quality
- 84.57
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 81.57
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240923002259 | WI | Practitioner - Family Practice | 6901205665 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meriter Hospital, Inc. | Current | Accepting new patients | |
| Meriter Hospital, Inc. | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Meriter Hospital, Inc. | Past | Accepting new patients |
Locations
4200 Savannah Dr
Deforest, WI 53532
Phone (608) 417-3300
202 S Park St
Madison, WI 53715
Phone (608) 267-6000
3102 Meriter Way
Madison, WI 53719
Phone (608) 417-8800
Interoperability endpoints
- lgu1116745@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 84611-20 | WI | Yes |
Addresses
Primary practice location
4200 Savannah Dr
Deforest, WI 53532-2909
Mailing address
4200 Savannah Dr
Deforest, WI 53532-2909
Phone (608) 417-3300
Other providers in Deforest, WI
- Elevated Psychotherapy
- Kate Erickson
- Robert B Gage
- Brittany Gierczic
- Group Health Cooperative of South Central Wisconsin Deforest Clinic
- Guided Solutions Therapy SC
- Hannah Harshbarger
- Tracy Beth Head
- Heart & Home Companion Care LLC
- Catrina Heath
All providers in Deforest, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.