JACK LEYA (MD) – Gastroenterology Physician, NPI 1336128602

JACK LEYA (MD) is a healthcare provider. based in Maywood, Illinois. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 36066173 (IL). The NPI Number for JACK LEYA (MD) is 1336128602

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
JACK LEYA (MD)
NPI
1336128602
Phone
(708) 216-3307
Address
2160 S FIRST AVE
Enumeration Date
13 January 2006
Last Update Date
10 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082168372
Graduation Year
1981 (45 years ago)
PAC ID
3870522493
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20050804000377
Address ID
IL601533328MA2160XAVEX400

Contacts

Secure Messaging
jleya12437@direct.luhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

978 GASTROENTEROLOGY in IL

Provider Addresses for JACK LEYA (MD)

  • 2160 S FIRST AVE

    (FAHEY BLDG., RM. 007)

    MAYWOOD, IL 60153

    Phone: (708) 216-3307

    Fax: (708) 216-4113

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Medtronic, Inc. ($43).

Total Amount

$43

General + Research + Ownership

Payments

1

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$43
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050804000377IGastroenterologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2525$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare2424$0
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito1212$0
45380Biopsy of large bowel using a flexible endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779488903View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for JACK LEYA (MD)?
JACK LEYA (MD) — NPI 1336128602 — is the standard way to identify this listing.
Is JACK LEYA (MD) still practicing?
JACK LEYA (MD) is currently listed as active in the public NPI registry.
What is JACK LEYA (MD) best known for clinically?
Directory data describes JACK LEYA (MD) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Does JACK LEYA (MD) list a practice location?
Patients near Maywood, Illinois may find JACK LEYA (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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