DR. ANGEL DEMETRESS LEAKE (M.D.) – Infectious Disease Physician, NPI 1679729842

DR. ANGEL DEMETRESS LEAKE (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in Infectious Disease Physician. They hold the professional credentials M.D.. They hold a License No. 036113650 (IL). The NPI Number for DR. ANGEL DEMETRESS LEAKE (M.D.) is 1679729842

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANGEL DEMETRESS LEAKE (M.D.)
NPI
1679729842
Phone
(877) 834-6613
Address
1655 S Blue Island Ave Ste 4086
Enumeration Date
7 August 2008
Last Update Date
1 May 2026

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
7732334100
Graduation Year
2002 (24 years ago)
PAC ID
8527249671
Group Practice PAC ID
4284533183
Professional Enrollment ID
I20110222000788
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for DR. ANGEL DEMETRESS LEAKE (M.D.)

  • 1655 S Blue Island Ave Ste 4086

    Chicago, IL 606082133

    Phone: (877) 834-6613

    Fax: (773) 309-0172

    Type: Location

  • Provident Hospital of Cook County, 500, East 51st Street, Washington Park, Chicago, Hyde Park Township, Cook County, Illinois, 60615, United States

    DIVISION OF INFECTIOUS DISEASES--RM 7007

    CHICAGO, IL 606152400

    Phone: (312) 572-2363

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 76 Open Payments records for all available years, with a total value of $1,668.

Total Amount is formed as General ($1,668) + Research ($0) + Ownership ($0) = $1,668.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ViiV Healthcare Company ($954).

Total Amount

$1,668

General + Research + Ownership

Payments

76

Total payment records

General Amount

$1,668

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-02-22

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
I20110222000788IInternal MedicineILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60608)

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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: 4284533183View full group profile
NameSpecialtyState
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Internal MedicineIL
Nurse PractitionerIL
Nurse PractitionerIL
Internal Medicine, Addiction MedicineIL
-IL
Family PracticeIL

Reviews

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Frequently asked questions

What number should I use to identify DR. ANGEL DEMETRESS LEAKE (M.D.) for billing?
Administrative and clinical systems typically use NPI 1679729842 for DR. ANGEL DEMETRESS LEAKE (M.D.).
Is DR. ANGEL DEMETRESS LEAKE (M.D.)'s NPI status active today?
Active status means DR. ANGEL DEMETRESS LEAKE (M.D.)'s NPI record is not deactivated in the public file.
What services align with DR. ANGEL DEMETRESS LEAKE (M.D.)'s listing?
DR. ANGEL DEMETRESS LEAKE (M.D.)'s public classification highlights Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. ANGEL DEMETRESS LEAKE (M.D.) in Chicago, Illinois?
For routing, start with Chicago, Illinois for DR. ANGEL DEMETRESS LEAKE (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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