Individual provider Active NPI

Jaime M Ledesma, MD

  • Gynecology Physician
  • Tucson, AZ
National Provider Identifier
1073618161
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
16286 Issued in AZ
Practice address
1261 N Wilmot Rd
Tucson, AZ 85712-5154
Phone
(520) 722-6858
Fax
(520) 722-8781
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 16286 AZ Primary

Addresses

Primary practice location

1261 N Wilmot Rd
Tucson, AZ 85712-5154

Mailing address

5055 E Broadway Blvd Ste A100
Tucson, AZ 85711-3629
Phone (520) 382-1205

Other identifiers 1

IdentifierTypeStateIssuer
285503MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000703 AZ Practitioner - Obstetrics/Gynecology 9931367851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arizona College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Community Physicians PCGroup PAC ID 4587560552, 162 clinicians

Practice addresses (Care Compare)

1261 N Wilmot Rd
Tucson, AZ 85712-5154
Phone (520) 722-6858

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physicians PC Gynecology CurrentSince May 30, 2024 Accepting new patients
Arizona Community Physician PC CurrentSince May 30, 2024 Accepting new patients
TMC Medical Network CurrentSince Jan 1, 2018 Accepting new patients
Banner-University Medical Group Obstetrics & Gynecology Past Accepting new patients

Locations

1261 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 722-6858

1400 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 222-8268

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

7510 N Oracle Rd
Tucson, AZ 85704

10350 E Drexel Rd
Unit 110
Tucson, AZ 85747
Phone (520) 324-1727

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

7510 N Oracle Rd
Ste 100
Tucson, AZ 85704
Phone (520) 324-4230

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

Interoperability endpoints

  • Direct secure messaging: jledesma21104@azacp.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1073618161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD STE A100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113629",
            "telephone_number": "520-382-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125154",
            "telephone_number": "520-722-6858",
            "fax_number": "520-722-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDESMA",
        "first_name": "JAIME",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "16286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285503",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.