Active NPI
Leland E. McNeill, M.D.
- Family Medicine Physician
- Charleston, IL
National Provider Identifier
1891897773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-036335
- Practice address
- 506 W Lincoln Ave
Suites 200 a and B
Charleston, IL 61920-2453 - Phone
- (217) 348-8727
- Fax
- (217) 345-7146
- NPI assigned
- Sep 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-036335 | IL | Primary |
Addresses
Primary practice location
506 W Lincoln Ave
Suites 200 a and B
Charleston, IL 61920-2453
Mailing address
506 W Lincoln Ave
Suites 200 a and B
Charleston, IL 61920-2453
Phone (217) 348-8727
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001800008 | Other | IL | BCBS |
| 170260 | Other | IL | PERSONAL CARE |
| 036036335 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-036335 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Le McNeill MD SC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Allergy & Immunology Physician
- Charleston, IL
- NPI 1891779203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1891897773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 W LINCOLN AVE",
"address_2": "SUITES 200 A AND B",
"city": "CHARLESTON",
"state": "IL",
"postal_code": "619202453",
"telephone_number": "217-348-8727",
"fax_number": "217-345-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 W LINCOLN AVE",
"address_2": "SUITES 200 A AND B",
"city": "CHARLESTON",
"state": "IL",
"postal_code": "619202453",
"telephone_number": "217-348-8727",
"fax_number": "217-345-7146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEILL",
"first_name": "LELAND",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-036335",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "001800008",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CARE",
"identifier": "170260",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036036335",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charleston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.