NPIMap

Individual provider Active NPI

Jose L De Leon, P.A.-C.

  • Physician Assistant
  • Decatur, TX
National Provider Identifier
1003024944
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02223 Issued in TX
Practice address
800 Medical Center Dr Ste C
Decatur, TX 76234-3844
Phone
(940) 626-2110
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02223 TX Primary

Addresses

Primary practice location

800 Medical Center Dr Ste C
Decatur, TX 76234-3844

Mailing address

363 Tejas TRL
Springtown, TX 76082-4715
Phone (248) 245-7948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080328000285 TX Practitioner - Physician Assistant 2769568971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Parker County Hospital District 10 clinicians

Practice addresses (Care Compare)

1517 Texas Dr
Weatherford, TX 76086-6327
Phone (817) 458-3342

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Weatherford, TX, CCN 679523
  • Medical City Weatherford Hospital, Weatherford, TX, CCN 450203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Parker County Hospital District CurrentSince Sep 1, 2025 Accepting new patients
Parker County Hospital District Current Accepting new patients
Parker County Hospital District CurrentSince Sep 1, 2025 Accepting new patients
Parker County Hospital District Past Accepting new patients
McLaren Flint Past Accepting new patients
Texas Em-1 Medical Services, PA Physician Assistant Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients

Locations

1517 Texas Dr
Weatherford, TX 76086
Phone (817) 458-3300

Interoperability endpoints

  • Direct secure messaging: jose.de.leon.1@9877.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9877/brand/1/csg/1/fhir/r4

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1003024944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 TEJAS TRL",
            "city": "SPRINGTOWN",
            "state": "TX",
            "postal_code": "760824715",
            "telephone_number": "248-245-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CENTER DR STE C",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343844",
            "telephone_number": "940-626-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "JOSE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.