Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Leon S Bacchus, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265643332

Dr. Leon S Bacchus, MD is a Diagnostic Radiology in Manhasset, New York. Qualified in 2006, 20 years ago. Practices with Southside Faculty Medical Affiliates University Faculty Practice Corp, a 223-clinician group and accepts Medicare assignment. Licensed in North Carolina, New York and Pennsylvania.

Years since qualifying
20
Licensed in
NC, NY, PA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Community Dr Dept OF Radiology
Manhasset, NY 11030
Phone: (516) 562-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 258760 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT188246 (PA)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 2015-00834 (NC)

Record details

NPI number1265643332
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 24, 2007
Last updated in NPPESOctober 7, 2021
Certification dateOctober 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Southside Faculty Medical Affiliates University Faculty Practice Corp — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Manhasset