Leonard Fagan, M.D.
NPI 1104812171 · Obstetrics & Gynecology Physician · Kenosha, WI
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Leonard Fagan, M.D. is a Obstetrics & Gynecology Physician provider in Kenosha, WI (NPI 1104812171).
Provider details
- NPI number
- 1104812171
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 46372-020 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-23
- Last updated
- 2022-10-03
- Certified
- 2022-10-03
Frequently asked questions
- What is Leonard Fagan's NPI number?
- Leonard Fagan's National Provider Identifier (NPI) is 1104812171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Leonard Fagan's specialty?
- Leonard Fagan is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Leonard Fagan located?
- Leonard Fagan's practice location on file with NPPES is 10222 74th Street, Kenosha, WI 53142-6800.
- What is Leonard Fagan's phone number?
- The practice phone number listed in the NPPES registry for Leonard Fagan is (262) 697-9200.
- Does Leonard Fagan accept Medicare?
- Leonard Fagan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Leonard Fagan's NPI active?
- Yes — Leonard Fagan's NPI (1104812171) is active in the NPPES registry as of the last update on 2022-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.