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DR. IVAN ERNESTO LEROUX MD
NPI 1568088110
Internal Medicine in Upland, CA

Active since June 19, 2020PECOS EnrolledAccepts Medicare Assignment
330 E 7TH ST FL 2, UPLAND, CA 91786(800) 213-8517 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2023, May 30, 2023, Jun 19, 2020 (3 updates tracked since 2020).

About Dr. Ivan Ernesto Leroux Md NPPES

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

DR. IVAN ERNESTO LEROUX MD (NPI 1568088110) is an individual internal medicine provider in Upland, California, licensed in California (A183662) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (2020).

NPPES Registry Identity

NPI1568088110
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. IVAN ERNESTO LEROUXCredential: MD
Location Address330 E 7TH ST FL 2Upland, CA 91786-6740
Mailing Address1701 S Figueroa St # 1434Los Angeles, CA 90015-3419 · (464) 322-9916
Phone(800) 213-8517
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2020
Enumeration DateJune 19, 2020
Last NPPES UpdateDecember 22, 20233 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
✔ NPI 1568088110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A183662
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
330 E 7TH ST FL 2, Upland, CA 91786
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ivan Ernesto Leroux 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 ID547623597
PECOS Enrollment IDI20230824001024
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ivan Leroux reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
19 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000
The Huntington Medical Foundation
29 mi
Internal Medicine
100 W CALIFORNIA BLVD
Pasadena, CA 91105
  • Reassigned Medicare billing, California enrollment
  • 204 clinicians in this Medicare group
NPI 1154467181 (626) 397-8335

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES

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

STEVE HING L.AC, QME
Acupuncturist
330 E 7TH ST FL 2
UPLAND, CA 91786
San Bernardino County (714) 584-3671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Leroux's NPI number?

The NPI number for Ivan Leroux is 1568088110. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Where is Ivan Leroux located?

Ivan Leroux practices at 330 E 7th St Fl 2, Upland, CA 91786. The listed phone number is (800) 213-8517.

What is Ivan Leroux's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ivan Leroux enrolled in Medicare?

Yes. Ivan Leroux is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ivan Leroux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivan Leroux reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Anaheim, CA) and The Huntington Medical Foundation (Pasadena, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ivan Leroux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ivan Leroux was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.