DR. SAMUEL LEUNG M.D.
NPI 1568801645
Pediatrics - Pediatric Gastroenterology in Park Ridge, IL

Q: What is Samuel Leung's NPI number?

The NPI number for Samuel Leung is 1568801645. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Q: What is Samuel Leung's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Leung was last updated on May 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 21, 2013PECOS Enrolled

1675 DEMPSTER ST FL 3, PARK RIDGE, IL 60068(847) 318-9330(847) 318-9330 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2023, Feb 3, 2023, Feb 18, 2020 (3 updates tracked since 2020).

On this page

About Dr. Samuel Leung M.d. NPPES

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

DR. SAMUEL LEUNG M.D. (NPI 1568801645) is an individual pediatric gastroenterology provider in Park Ridge, Illinois, licensed in Illinois (036161846) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Maywood.

NPPES Registry Identity

NPI1568801645

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NameDR. SAMUEL LEUNGCredential: M.D.

Location Address1675 DEMPSTER ST FL 3Park Ridge, IL 60068-1110

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(847) 318-9330

Fax(847) 318-9330

Sole ProprietorYes

Enumeration DateJune 21, 2013

Last NPPES UpdateMay 9, 20233 updates tracked since enumeration

NPPES CertifiedMay 9, 2023

✔ NPI 1568801645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

Licenses✔ Licensed in IL · 036161846✔ Licensed in OK · 34285

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

1675 DEMPSTER ST FL 3, Park Ridge, IL 60068

Open in Google Maps ↗

Secondary Practice Location 1

Location 12160 S 1st AveMaywood, IL 60153-3328 · Phone (708) 216-9000

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 (PECOS)

Dr. Samuel Leung M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$185.34 avg. paid by Medicare

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

Leave this field empty

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.

MELISSA LIEBERMAN

Physician Assistant (Surgical)