Active NPI
Raymond L Leung, M.D,
- Internal Medicine Physician
- Richmond Heights, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 108735
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-098811 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Track Medical LLC | Current | Accepting new patients | |
| Fast Track Medical LLC | Current | Accepting new patients | |
| Medical Care LLC | Current | 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.
-
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1568770626
-
- Health Service Clinic/Center
- Florissant, MO
- NPI 1609481696
-
- Urgent Care Clinic/Center
- Florissant, MO
- NPI 1588062491
-
- Urgent Care Clinic/Center
- Florissant, MO
- NPI 1912150467
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.