ANTHONY S LEAZZO (DO) – Family Medicine Physician, NPI 1912056995

ANTHONY S LEAZZO (DO) is a healthcare provider. based in Geneva, Illinois. specializing in FAMILY PRACTICE, PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DO. They hold a License No. 036111542 (IL). The NPI Number for ANTHONY S LEAZZO (DO) is 1912056995

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY S LEAZZO (DO)
NPI
1912056995
Phone
(360) 232-2200
Address
2425 FARGO BLVD
Enumeration Date
9 January 2007
Last Update Date
20 December 2018

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8159420545
Graduation Year
1998 (28 years ago)
PAC ID
5698722767
Group Practice PAC ID
1850372459
Professional Enrollment ID
I20050401000046
Address ID
IL604509466MO100XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,041 FAMILY PRACTICE in IL

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Provider Addresses for ANTHONY S LEAZZO (DO)

  • 2425, Fargo Boulevard, Geneva, Kane County, Illinois, 60134, United States

    GENEVA, IL 601343591

    Phone: (360) 232-2200

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-04-01

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
I20050401000046IFamily PracticeILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes520341$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit257257$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg9814$0
G0008Administration of influenza virus vaccine7776$0
90662Influenza vaccine split virus, preservative free7372$0
View full utilization report →

Insurance plans in this area (ZIP 60134)

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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: 1850372459View full group profile
NameSpecialtyState
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
Internal Medicine, Pediatric MedicineIL
-IL
Nurse PractitionerIL
Orthopedic SurgeryNY
Nurse PractitionerIL
Family PracticeIL
Allergy/Immunology, Internal MedicineIL

Reviews

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Frequently asked questions

Where can patients find ANTHONY S LEAZZO (DO)'s NPI?
You can confirm ANTHONY S LEAZZO (DO) with NPI 1912056995; it appears in the national provider directory.
Is ANTHONY S LEAZZO (DO) active in the national directory?
ANTHONY S LEAZZO (DO)'s public NPI profile is in an active state.
Can you summarize ANTHONY S LEAZZO (DO)'s specialty in plain language?
Clinically, the directory lists ANTHONY S LEAZZO (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANTHONY S LEAZZO (DO)?
The page summarizes Geneva, Illinois for ANTHONY S LEAZZO (DO); expand the address list for detail.
How can I contact ANTHONY S LEAZZO (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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