Robert Grierson Leckie, MD
Individual provider Active NPI Diagnostic Radiology Physician · Winnemucca, NV
NPI 1861490559 · NPPES record last updated Apr 3, 2013
Key facts
- NPI
- 1861490559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 7705 (NV)
- Practice address
- 118 E Haskell St
Winnemucca, NV 89445-3247 - Phone
- (775) 623-5222
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Virginia School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner Health
Universal Radiology Partners of Nevada
Practice addresses (Care Compare)
1800 Spring Ridge Dr
Susanville, CA 96130-6100
Phone (530) 252-2000
620 Shadow LN
Las Vegas, NV 89106-4119
Phone (702) 388-4000
Hospital & facility affiliations
- Banner Lassen Medical Center
- Northern Nevada Medical Center
- William Bee Ririe Hospital
- Valley Hospital Medical Center
- Renown Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, NV
- 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 |
|---|---|---|---|---|
| I20050214000322 | CA | Practitioner - Diagnostic Radiology | 6103719042 | Reassigns benefits to 3 organizations |
| I20051103000453 | NV | Practitioner - Diagnostic Radiology | 6103719042 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G86763 | CA | MD | Diagnostic Radiology Physician |
| 7705 | NV | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pershing General Hospital | Current |
Accepting new patients | |
| Universal Radiology Partners of Nevada LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Banner Health | Current |
Accepting new patients | |
| William Bee Ririe Retail Pharmacy | Current |
Accepting new patients | |
| Eastern Plumas Health Care District | Current |
Accepting new patients | |
| Northstar Imaging Medical Group, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Banner Health | Current |
Accepting new patients | |
| Eastern Plumas Health Care Home Health | Current |
Accepting new patients | |
| Pershing General Hospital | Current |
Accepting new patients | |
| Banner Health | Current |
Accepting new patients | |
| Northstar Radiology | Diagnostic Radiology | Current |
Accepting new patients |
| Sparks Radiology Group LTD. | Diagnostic Radiology | Current |
Accepting new patients |
| William Bee Ririe Hospital | Current | Accepting new patients | |
| Eastern Plumas Health Care District | Current |
Accepting new patients | |
| William Bee Ririe Hospital | Family Medicine | Current |
Accepting new patients |
| Banner Lassen Medical Center | Past | Accepting new patients | |
| Northstar Imaging Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
500 1st Ave
Portola, CA 96122
Phone (530) 832-4277
1065 Bucks Lake Rd
Quincy, CA 95971
Phone (530) 283-2121
1680 Bunyan Rd
Susanville, CA 96130
Phone (530) 252-2235
1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225
535 S Humboldt St
Battle Mtn, NV 89820
Phone (775) 635-2424
1500 Avenue H
Ely, NV 89301
Phone (775) 289-3001
801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500
316 California Ave
Reno, NV 89509
Phone (775) 201-5445
2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000
118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222
1235 Menomonie St
Ste B
Eau Claire, WI 54703
2031 32nd St S
La Crosse, WI 54601
Phone (608) 788-8100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 7705 | NV | Yes |
| Diagnostic Radiology Physician | 2085R0202X | G86763 | CA |
Addresses
Primary practice location
118 E Haskell St
Winnemucca, NV 89445-3247
Mailing address
PO Box 32936
Knoxville, TN 37930-2936
Phone (800) 489-8531
Other providers in Winnemucca, NV
- Jeremy Marc Keener
- Khoury'S Inc.
- Amy Jean Lake
- James Maurice Langevin
- Fergus John Laughridge Sr.
- Theresa Anne Lemus
- Janice Irene Lester
- Jennifer Rosann Lewis
- Shouping Li
- Lincare Inc.
All providers in Winnemucca, NV · Diagnostic Radiology Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2013. 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.