MAURICIO GALLEGOS LEAL MD
NPI 1770330854
Internal Medicine in Charleston, SC

Active since May 06, 2024PECOS Enrolled
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425(843) 792-2731 Get Directions Write a Review

NPPES record last updated: April 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2025, Jun 27, 2024, May 6, 2024 (3 updates tracked since 2024).

About Mauricio Gallegos Leal Md NPPES

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

MAURICIO GALLEGOS LEAL MD (NPI 1770330854) is an individual internal medicine provider in Charleston, South Carolina, licensed in South Carolina (LL92713) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1770330854
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMAURICIO GALLEGOS LEALCredential: MD
Location Address169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC333Charleston, SC 29425
Mailing Address169 Ashley Ave, Room 202 Main Hospital, Msc333Charleston, SC 29425
Sole ProprietorNo
Enumeration DateMay 6, 2024
Last NPPES UpdateApril 12, 20253 updates tracked since enumeration
NPPES CertifiedApril 12, 2025
NPI 1770330854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in SC · LL92713
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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 13-3971298 (NY)
169 ASHLEY AVE, Charleston, SC 29425

Secondary Practice Location 1

Location 1550 1st AveNew York, NY 10016-6402 · Phone (212) 263-5506

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mauricio Gallegos Leal Md 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 29425 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 20

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

Physical Therapist (Orthopedic)
169 ASHLEY AVE, ROOM, 3SW WING
CHARLESTON, SC 29425
Health and Wellness Coach
169 ASHLEY AVE
CHARLESTON, SC 29425
Anesthesiology
169 ASHLEY AVE
CHARLESTON, SC 29425
Pathology (Anatomic Pathology & Clinical Pathology)
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Surgery
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL
CHARLESTON, SC 29425
Surgery
169 ASHLEY AVE
CHARLESTON, SC 29425
Surgery
169 ASHLEY AVE
CHARLESTON, SC 29425
Internal Medicine
169 ASHLEY AVE
CHARLESTON, SC 29425

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 Mauricio Gallegos Leal's NPI number?

The NPI number for Mauricio Gallegos Leal is 1770330854. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Mauricio Gallegos Leal located?

Mauricio Gallegos Leal practices at 169 Ashley Ave Room 202 Main Hospital, Msc333, Charleston, SC 29425. The listed phone number is (843) 792-2731.

What is Mauricio Gallegos Leal's specialty?

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

Is Mauricio Gallegos Leal enrolled in Medicare?

Yes. Mauricio Gallegos Leal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mauricio Gallegos Leal was last updated on April 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.