KYLE RYAN LEONG DO
NPI 1427630771
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since April 26, 2021PECOS Enrolled
2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-5011 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 4, 2024, Apr 26, 2021 (2 updates tracked since 2021).

About Kyle Ryan Leong Do NPPES

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

KYLE RYAN LEONG DO (NPI 1427630771) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1427630771
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE RYAN LEONGCredential: DO
Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973
Mailing Address4001 N 3rd St Ste 290Phoenix, AZ 85012-2071
Sole ProprietorNo
Enumeration DateApril 26, 2021
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
NPI 1427630771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2601 E ROOSEVELT ST, Phoenix, AZ 85008

Secondary Practice Location 1

Location 1350 W Thomas RdPhoenix, AZ 85013-4496 · Phone (602) 406-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kyle Ryan Leong Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427630771, enumerated as an "individual" on April 26, 2021.

The provider is located at 2601 E ROOSEVELT ST PHOENIX, AZ 85008 and the phone number is (602) 344-5011.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.