DR. BENJAMIN J LEAK M.D. NPI 1043248867

NPI Information

  • NPI: 1043248867
  • Provider Name: DR. BENJAMIN J LEAK, M.D.
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1401 EASTLAND DR
    SUITE B
    BLOOMINGTON, IL
    ZIP 61701
  • Phone: (309) 663-9424

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NPI Details

DR. Benjamin J Leak, M.D. is an urology in Bloomington, IL with 22 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Benjamin J Leak, M.D. NPI is 1043248867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2003

The provider's business location address is:

1401 EASTLAND DR
SUITE B
BLOOMINGTON, IL
ZIP 61701-514
Phone: (309) 663-9424
Fax: (309) 663-6350

The NPI 1043248867 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Urinalysis using microscope (HCPCS:81015)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Dilation of urethra using an endoscope (HCPCS:52281)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Biopsy of prostate gland (HCPCS:55700)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Shock wave crushing of kidney stones (HCPCS:50590)
  • Complete laser vaporization of prostate including control of bleeding using an endoscope (HCPCS:52648)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 6/29/2006 and was last updated on 9/13/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1798270MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
25732045OTHERILLINOISBC BS PROVIDER NUMBER
3K04769MEDICARE PIN
4P00100008OTHERILLINOISRAILROAD MEDICARE
50723870001OTHERILLINOISDME PROVIDER NUMBER
6I02495MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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