Individual provider Active NPI

William B Lea, M.D.

  • Vascular & Interventional Radiology Physician
  • Cape Girardeau, MO
National Provider Identifier
1790947760
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
2024035386 Issued in MO
Practice address
70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone
(573) 335-6671
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2024035386 MO
Vascular & Interventional Radiology Physician 2085R0204X 2024035386 MO Primary

Addresses

Primary practice location

70 Doctors Park
Cape Girardeau, MO 63703-4928

Mailing address

70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 335-6671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TN, ND, MN, GA, TX, KY, MO, IL9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20150609002877 WI Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8325285448 Reassigns benefits to 2 organizations
I20190731001220 TN Practitioner - Interventional Radiology 8325285448 Reassigns benefits to 4 organizations
I20210709000536 ND Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8325285448 Reassigns benefits to 1 organization
I20210713003096 MN Practitioner - Interventional Radiology 8325285448 Reassigns benefits to 3 organizations
I20220224000514 GA Practitioner - Interventional Radiology 8325285448
I20230613001483 TX Practitioner - Interventional Radiology 8325285448 Reassigns benefits to 1 organization
I20240515004010 KY Practitioner - Diagnostic Radiology 8325285448 Reassigns benefits to 2 organizations
I20240910000531 MO Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8325285448 Reassigns benefits to 2 organizations
I20241001004283 IL Practitioner - Interventional Radiology 8325285448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Radiology Group PCGroup PAC ID 9830093236, 54 clinicians

Practice addresses (Care Compare)

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (270) 444-2444

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 651-5543

405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
  • Memorial Hospital of Carbondale Hospital, Carbondale, IL, CCN 140164
  • Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113
  • Mercy Hospital Stoddard Hospital, Dexter, MO, CCN 260160

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024035386MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Apr 5, 2023 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 29, 2023 Accepting new patients
Osu Radiology LLC Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Mercy Hospital Perry Diagnostic Radiology CurrentSince Oct 7, 2024 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Current Accepting new patients
Allina Health System CurrentSince Apr 1, 2024 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Sep 15, 2013 Accepting new patients
Altru Health System CurrentSince Jun 29, 2021 Accepting new patients
Allina Health System Current Accepting new patients
St. Francis Regional Medical Center CurrentSince Apr 1, 2024 Accepting new patients
St Francis Regional Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Allina Health System CurrentSince Apr 1, 2024 Accepting new patients
Cape Radiology Group, P.C. Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 29, 2023 Accepting new patients
Mercy Hospital Perry CurrentSince Oct 7, 2024 Accepting new patients
Allina Health System CurrentSince Apr 1, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Altru Health System CurrentSince Jun 29, 2021 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Apr 1, 2024 Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 38)

517 N Main St
Anna, IL 62906
Phone (618) 833-2295

405 W Jackson St
Carbondale, IL 62901

1937 Momentum Pl
Chicago, IL 60689

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

811 E Parrish Ave
Owensboro, KY 42303
Phone (270) 684-8611

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

913 E 26th St
Ste 402
Minneapolis, MN 55404
Phone (612) 845-6212

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

650 S Mount Auburn Rd
Ste 100
Cape Girardeau, MO 63703
Phone (573) 986-4403

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

70 Doctors Park
Cpe Girardeau, MO 63703

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

3255 Independence St
Cpe Girardeau, MO 63701
Phone (573) 331-8026

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

509 W 18th St
Hermann, MO 65041
Phone (573) 486-2045

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

2588 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 778-1277

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 6

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1790947760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-335-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-335-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEA",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2024035386",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2024035386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.