DR. JACK LEONG MD
NPI 1174506513
Pediatrics in Chicago, IL

Q: What is Jack Leong's NPI number?

The NPI number for Jack Leong is 1174506513. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Q: What is Jack Leong's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Leong was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment

3000 N CICERO AVE, CHICAGO, IL 60641(773) 282-3115(773) 282-0590 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2020, Jul 14, 2020 (2 updates tracked since 2020).

On this page

About Dr. Jack Leong Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK LEONG MD (NPI 1174506513) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036070436) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Humboldt Park Health, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1174506513

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. JACK LEONGCredential: MD

Location Address3000 N CICERO AVEChicago, IL 60641-5106

Mailing Address3000 N Cicero AveChicago, IL 60641-5106 · (773) 282-3115 · Fax (773) 282-0590

Phone(773) 282-3115

Fax(773) 282-0590

Sole ProprietorYes

Medical School CMSOtherGraduated 1982

Enumeration DateNovember 21, 2005

Last NPPES UpdateOctober 20, 20202 updates tracked since enumeration

NPPES CertifiedOctober 20, 2020

✔ NPI 1174506513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036070436

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3000 N CICERO AVE, Chicago, IL 60641

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack Leong Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062416381

PECOS Enrollment IDI20090401000309

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

123 services40 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

44 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Humboldt Park Health

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140206

Location1044 N Francisco AveChicago, IL 60622 · Cook County

Emergency services Birthing friendly

Community First Medical Center

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number140251

Location5645 W Addison StreetChicago, IL 60634 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60641 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers24 claims52 services$5.70 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers17 claims17 services$2.41 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers21 claims25 services$0.96 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACK C. LEONG MD SC

Family Medicine