Individual provider Active NPI

Herman G Leong, MD

  • Otolaryngology Physician
  • Victoria, TX
National Provider Identifier
1881721801
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
P2718 Issued in TX
Practice address
117 Medical Dr
Suite 1
Victoria, TX 77904-3102
Phone
(361) 573-4331
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X P2718 TX Primary

Addresses

Primary practice location

117 Medical Dr
Suite 1
Victoria, TX 77904-3102

Mailing address

117 Medical Dr
Ste 1
Victoria, TX 77904-3114
Phone (361) 573-4331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110926000636 TX Practitioner - Otolaryngology 8022192228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Herman G Leong M D P aGroup PAC ID 9234300104, 3 clinicians

Practice addresses (Care Compare)

117 Medical Dr
Suite 1
Victoria, TX 77904-3114
Phone (361) 573-4331

Hospital & facility affiliations

  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023
  • De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147
  • Cuero Regional Hospital Hospital, Cuero, TX, CCN 450597
  • Lavaca Medical Center Hospital, Hallettsville, TX, CCN 451376

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P2718TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Herman G Leong M D P a Otolaryngology CurrentSince Aug 18, 2011 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

117 Medical Dr
Ste 1
Victoria, TX 77904
Phone (361) 573-4331

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.

Hospital & facility affiliations 4

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1881721801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MEDICAL DR",
            "address_2": "STE 1",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043114",
            "telephone_number": "361-573-4331",
            "fax_number": "361-573-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MEDICAL DR",
            "address_2": "SUITE 1",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043102",
            "telephone_number": "361-573-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONG",
        "first_name": "HERMAN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "P2718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.