Individual provider Active NPI

Bo Carl Leung, MD

  • Neurology Physician
  • Newport News, VA
National Provider Identifier
1932635539
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101274323 Issued in VA
Practice address
12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Phone
(757) 534-5100
Fax
(757) 534-5395
NPI assigned
May 3, 2017
Last updated
May 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35.146958 OH
Neurology Physician 2084N0400X 0101274323 VA Primary
Neurology Physician 2084N0400X 04-46541 KS
Neurology Physician 2084N0400X 76568 WI
Neurology Physician 2084N0400X 036162659 IL
Clinical Neurophysiology Physician 2084N0600X A159636 CA
Clinical Neurophysiology Physician 2084N0600X 036162659 IL

Addresses

Primary practice location

12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344

Mailing address

1520 San Pablo St Ste 3000
Los Angeles, CA 90033-5315

Other practice location 1

1520 San Pablo St Ste 3000
Los Angeles, CA 90033-5315
Phone (800) 872-2273

Other practice location 2

500 W Court St
Kankakee, IL 60901-3661
Phone (815) 937-2400

Other practice location 3

100 S Alameda St
Los Angeles, CA 90012-3927
Phone (877) 744-6483

Other practice location 4

1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 238-4325

Other practice location 5

2214 Canterbury Dr Ste 202
Hays, KS 67601-2375
Phone (785) 623-2312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IA, NM, CA, KS, NH, IL, NC, GA, MD, KY, IN, PA, NJ14 enrollments
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 14

Enrollment IDStateProvider typePAC IDDetails
I20220221001176 WI Practitioner - Neurology 4688087513 Reassigns benefits to 14 organizations
I20220228001946 IA Practitioner - Neurology 4688087513 Reassigns benefits to 2 organizations
I20220310000990 NM Practitioner - Neurology 4688087513 Reassigns benefits to 1 organization
I20220422000934 CA Practitioner - Neurology 4688087513 Reassigns benefits to 14 organizations
I20220930001875 KS Practitioner - Neurology 4688087513 Reassigns benefits to 3 organizations
I20230124002077 NH Practitioner - Neurology 4688087513 Reassigns benefits to 1 organization
I20230320003026 IL Practitioner - Neurology 4688087513 Reassigns benefits to 2 organizations
I20230821003017 NC Practitioner - Neurology 4688087513 Reassigns benefits to 3 organizations
I20240320001078 GA Practitioner - Neurology 4688087513 Reassigns benefits to 2 organizations
I20250527002844 MD Practitioner - Neurology 4688087513 Reassigns benefits to 1 organization
I20250717004192 KY Practitioner - Neurology 4688087513 Reassigns benefits to 2 organizations
I20260127000256 IN Practitioner - Neurology 4688087513 Reassigns benefits to 1 organization
I20260129002716 PA Practitioner - Neurology 4688087513 Reassigns benefits to 2 organizations
I20260508003528 NJ Practitioner - Neurology 4688087513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Greeley Medical CenterGroup PAC ID 6507769247, 30 clinicians
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
Genesis Health SystemGroup PAC ID 6103829338, shared by 2 NPIs, 262 clinicians
Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians
Morris HospitalGroup PAC ID 1850372459, 115 clinicians
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians
Barton Medical FoundationGroup PAC ID 5395127682, 97 clinicians
Saint Peters University HospitalGroup PAC ID 9931012382, 158 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Core Physicians LLCGroup PAC ID 2769563253, 290 clinicians
Froedtert South IncGroup PAC ID 9537071196, 158 clinicians

Practice addresses (Care Compare)

Los Angeles, CA 90012
Phone (323) 412-0088

100 S Alameda St
Unit 229
Los Angeles, CA 90012-3935
Phone (877) 744-6483

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 841-1234

1111 Duff Ave
Ames, IA 50010-5745
Phone (515) 239-2102

12021 Wilmington Ave
Suite 1000
Los Angeles, CA 90059-3019
Phone (424) 529-6755

1227 E Rusholme St
Davenport, IA 52803-2459

1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436

150 W High St
Morris, IL 60450-1463
Phone (815) 942-2932

1701 E 23Rd Ave
Hutchinson, KS 67502-1105
Phone (620) 665-2000

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 735-7645

210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000

2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 543-5807

219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845

2300 Western Ave
Manitowoc, WI 54220-3712
Phone (920) 320-2011

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-8600

3 Neenah Ctr
Neenah, WI 54956-3070

3500 Arendell St
Morehead City, NC 28557-2901

4700 E 56TH St
Davenport, IA 52807-2904

5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (770) 786-7053

5320 Mecca Ave
Tarzana, CA 91356-4122
Phone (217) 902-5291

611 N McPherrin Ave
Monterey Park, CA 91754-1135
Phone (309) 672-4433

7 Alumni Dr
Exeter, NH 03833-2118
Phone (603) 777-1000

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1454

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-46541KSMDNeurology Physician
35.146958OHMDNeurology Physician
A159636CAMDClinical Neurophysiology Physician
036162659ILMDClinical Neurophysiology Physician

Practice roles (60 of 73)

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Apr 8, 2022 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jun 5, 2023 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Hays Medical Center, Inc CurrentSince May 15, 2025 Accepting new patients
Core Physicians LLC CurrentSince Dec 26, 2022 Accepting new patients
Saint Luke's Physician Group Inc Neurology CurrentSince Oct 20, 2022 Accepting new patients
Presbyterian Healthcare Services Neurology CurrentSince Aug 1, 2023 Accepting new patients
Kentuckyone Health Medical Group, Inc. Psychiatry CurrentSince Jun 1, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Carle Health Medical Group CurrentSince Feb 21, 2026 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jun 21, 2022 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jun 11, 2025 Accepting new patients
Methodist Medical Center of Illinois Neurology CurrentSince Jun 11, 2025 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Feb 1, 2022 Accepting new patients
St. Joseph Medical Group Neurology CurrentSince Mar 1, 2026 Accepting new patients
Morgan County Georgia Hospital Authority Current Accepting new patients
Butte Des Morts Pathology, S.C. Current Accepting new patients
Presbyterian Healthcare Services CurrentSince Aug 1, 2023 Accepting new patients
Thedacare, Incorporated CurrentSince Jan 1, 2024 Accepting new patients
Core Physicians, LLC CurrentSince Dec 26, 2022 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2024 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Martin Luther King Jr Community Medical Foundation Neurology Current Accepting new patients
Thedacare, Incorporated CurrentSince Mar 9, 2023 Accepting new patients
Morris Hospital CurrentSince Mar 28, 2026 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Mar 24, 2022 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Apr 8, 2022 Accepting new patients
Genesis Health System CurrentSince Oct 7, 2022 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Apr 15, 2023 Accepting new patients
Mary Greeley Medical Center Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Mar 1, 2026 Accepting new patients
West Coast Neurology, Inc Neurology CurrentSince Apr 8, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Mary Greeley Medical Center CurrentSince Apr 18, 2023 Accepting new patients
Baptist Health Medical Group Inc Psychiatry CurrentSince Jan 1, 2026 Accepting new patients
Mary Greeley Medical Center CurrentSince Apr 18, 2023 Accepting new patients
Genesis Health System CurrentSince Oct 7, 2022 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Mar 11, 2024 Accepting new patients
Froedtert South, Inc. CurrentSince May 1, 2022 Accepting new patients
Morris Hospital CurrentSince Mar 28, 2026 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jun 21, 2022 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince Feb 1, 2022 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Neurology CurrentSince Feb 14, 2022 Accepting new patients
SCH Professional Corporation Neurology CurrentSince Aug 10, 2023 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2024 Accepting new patients
Hutchinson Regional Medical Center, Inc. Neurology CurrentSince Feb 1, 2023 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jul 7, 2023 Accepting new patients
University of Maryland Community Medical Group, Inc. Psychiatry CurrentSince Apr 1, 2025 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Mar 11, 2024 Accepting new patients
The Medical College of Wisconsin, Inc. Current Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Oct 18, 2023 Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
Hutchinson Regional Medical Center, Inc. CurrentSince Feb 1, 2023 Accepting new patients

Locations (25 of 93)

300 W Valley Blvd
Alhambra, CA 91803
Phone (213) 340-7373

612 W Duarte Rd
Ste 305
Arcadia, CA 91007
Phone (626) 446-4659

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

12021 Wilmington Ave
Ste 1000
Los Angeles, CA 90059
Phone (424) 529-6577

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

630 S Raymond Ave
Unit 310
Pasadena, CA 91105
Phone (626) 598-3770

15233 Ventura Blvd
Ste 500
Sherman Oaks, CA 91403
Phone (323) 532-0282

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1111 Duff Ave
Ames, IA 50010
Phone (515) 239-2011

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

29980 Network Pl
Chicago, IL 60673

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

150 W High St
Morris, IL 60450
Phone (815) 942-2129

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

2214 Canterbury Dr
Ste 202
Hays, KS 67601
Phone (785) 261-7672

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bleung1245201@direct.umm.edu
  • Direct secure messaging: bleung14205@direct.umcsn.com
  • Direct secure messaging: bleung211223@direct.phs.org
  • Direct secure messaging: bleung452651@direct.stlukeshealth.org
  • Direct secure messaging: bleung522631@direct.bilh.masshiway.net
  • Direct secure messaging: bleung567561@direct.froedtert.com
  • Direct secure messaging: boleung@mmc.medalliesdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 80

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.

View all 80

Hospital & facility affiliations 7

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1932635539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 SAN PABLO ST STE 3000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 WARWICK BLVD STE 110",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236012344",
            "telephone_number": "757-534-5100",
            "fax_number": "757-534-5395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 San Pablo St Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335315",
            "country_code": "US",
            "telephone_number": "800-872-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Court St",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609013661",
            "country_code": "US",
            "telephone_number": "815-937-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Alameda St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900123927",
            "country_code": "US",
            "telephone_number": "877-744-6483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384644",
            "country_code": "US",
            "telephone_number": "217-238-4325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2214 Canterbury Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012375",
            "country_code": "US",
            "telephone_number": "785-623-2312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "BO",
        "middle_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.146958",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101274323",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-46541",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "76568",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036162659",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "A159636",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "IL",
            "license": "036162659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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