Individual provider Active NPI

Raymond L Leung, M.D,

  • Internal Medicine Physician
  • Richmond Heights, MO
National Provider Identifier
1871716027
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
108735 Issued in MO
Practice address
1034 S Brentwood Blvd
Suite 660
Richmond Heights, MO 63117-1223
Phone
(314) 727-8099
Fax
(314) 727-6796
NPI assigned
Apr 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 108735 MO Primary
Internal Medicine Physician 207R00000X IL

Addresses

Primary practice location

1034 S Brentwood Blvd
Suite 660
Richmond Heights, MO 63117-1223

Mailing address

1578 Buckhurst CT
Ballwin, MO 63021-8395
Phone (314) 727-8099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150428002362 MO Practitioner - Internal Medicine 7315266194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Track Medical LLCGroup PAC ID 2062693336, 9 clinicians

Practice addresses (Care Compare)

2686 N Hwy 67
Florissant, MO 63033-1438
Phone (314) 921-7300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-098811ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Track Medical LLC CurrentSince Mar 20, 2015 Accepting new patients
Fast Track Medical LLC CurrentSince Mar 20, 2015 Accepting new patients
Medical Care LLC CurrentSince Mar 5, 2026 Accepting new patients
Fast Track Urgent Care LLC Current Accepting new patients

Locations

2686 N Highway 67
Florissant, MO 63033
Phone (314) 436-9300

5701 Chippewa St
Saint Louis, MO 63109
Phone (314) 921-7300

9845 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 736-6100

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871716027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 BUCKHURST CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630218395",
            "telephone_number": "314-727-8099",
            "fax_number": "314-727-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD",
            "address_2": "SUITE 660",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171223",
            "telephone_number": "314-727-8099",
            "fax_number": "314-727-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "RAYMOND",
        "middle_name": "L",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "108735",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, MO

Sources for this page

Verify at the official NPI Registry.