Active NPI
Audrey San Leung, MD
- Spinal Cord Injury Medicine Physician
- Saint Louis, MO
National Provider Identifier
1790168474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Spinal Cord Injury Medicine Physician
- License
- MD61087441
- Practice address
- 915 N Grand Blvd # B719
Saint Louis, MO 63106-1621 - Phone
- (314) 242-9583
- Fax
- (314) 289-7023
- NPI assigned
- Jun 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD61087441 | WA | |
| Internal Medicine Physician | 207R00000X | R-10441 | IA | |
| Spinal Cord Injury Medicine Physician | 2081P0004X | MD61087441 | WA | Primary |
| Spinal Cord Injury Medicine Physician | 2081P0004X | ML60951455 | WA |
Addresses
Primary practice location
915 N Grand Blvd # B719
Saint Louis, MO 63106-1621
Mailing address
925 North Grand Blvd
Room B719
St Louis, MO 63106
Phone (314) 652-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790168474 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 74.6
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61087441 | WA | MD | Spinal Cord Injury Medicine Physician |
| ML60951455 | WA | MD | Spinal Cord Injury Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Internal Medicine | Past | Accepting new patients |
| Harborview 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.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1053359729
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1790168474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 NORTH GRAND BLVD",
"address_2": "ROOM B719",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63106",
"telephone_number": "314-652-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 N GRAND BLVD # B719",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631061621",
"telephone_number": "314-242-9583",
"fax_number": "314-289-7023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG",
"first_name": "AUDREY",
"middle_name": "SAN",
"name_prefix": "Miss",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-30",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "MD61087441",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "R-10441",
"primary": false
},
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "WA",
"license": "MD61087441",
"primary": true
},
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "WA",
"license": "ML60951455",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790168474",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.