DR. LESLIE SHU-TUNG FANG (MD) – Nephrology Physician, NPI 1558351734

DR. LESLIE SHU-TUNG FANG (MD) is a healthcare provider. based in Charlestown, Massachusetts. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 39471 (MA). The NPI Number for DR. LESLIE SHU-TUNG FANG (MD) is 1558351734

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. LESLIE SHU-TUNG FANG (MD)
NPI
1558351734
Phone
(617) 742-2054
Address
PO BOX 9142
Enumeration Date
27 October 2005
Last Update Date
22 April 2014

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
6177422054
Graduation Year
1977 (49 years ago)
PAC ID
2567379225
Professional Enrollment ID
I20040503000673
Address ID
MA021144714BO151XXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for DR. LESLIE SHU-TUNG FANG (MD)

  • Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom

    CHARLESTOWN, MA 021299142

    Phone: (617) 742-2054

    Fax: (617) 742-3157

    Type: Mailing

  • 151, Merrimac Street, West End, Boston, Suffolk County, Massachusetts, 02114, United States

    3RD FL

    BOSTON, MA 021144714

    Phone: (617) 742-2054

    Fax: (617) 742-3157

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $44,657.

Total Amount is formed as General ($44,657) + Research ($0) + Ownership ($0) = $44,657.

Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Strategic Dentistry LLC ($44,652).

Total Amount

$44,657

General + Research + Ownership

Payments

13

Total payment records

General Amount

$44,657

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-04-04

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: 2004-05-03

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
I20040503000673IInternal MedicineMATBD

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 minutes1,885380$0
80053Blood test, comprehensive group of blood chemicals999537$0
85004White blood cell count995539$0
36415Insertion of needle into vein for collection of blood sample921516$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report917541$0
View full utilization report →

Insurance plans in this area (ZIP 02129)

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Provider's Procedures

DR. LESLIE SHU-TUNG FANG (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMA82270Stool analysis for blood to screen for colon tumors8484

Reviews

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Frequently asked questions

What is the standard ID for DR. LESLIE SHU-TUNG FANG (MD) in the U.S.?
In the U.S., DR. LESLIE SHU-TUNG FANG (MD) is identified by NPI 1558351734.
Does the public listing show DR. LESLIE SHU-TUNG FANG (MD) as active?
DR. LESLIE SHU-TUNG FANG (MD)'s NPI record reflects an active status in NPPES.
What does the directory say DR. LESLIE SHU-TUNG FANG (MD) does?
Insurance directories may phrase it differently, but here DR. LESLIE SHU-TUNG FANG (MD) maps to Nephrology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. LESLIE SHU-TUNG FANG (MD)?
DR. LESLIE SHU-TUNG FANG (MD) is associated with Charlestown, Massachusetts in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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