Individual provider Active NPI

Anne Marie Ponce de Leon, MD

  • Family Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1083649743
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3900 Issued in TX
Practice address
1437 Highway 6 Ste 100
Sugar Land, TX 77478-5131
Phone
(281) 313-7435
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L3900 TX Primary

Addresses

Primary practice location

1437 Highway 6 Ste 100
Sugar Land, TX 77478-5131

Mailing address

1437 Highway 6 Ste 100
Sugar Land, TX 77478-5131
Phone (281) 313-7435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3900TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Service Providers, PA Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Primary Medicine Center LLC Family Medicine Past Accepting new patients

Locations

4646 Corona Dr
Ste 280
Corpus Christi, TX 78411
Phone (361) 853-3559

4101 Greenbriar Dr
Ste 238
Houston, TX 77098
Phone (713) 541-6988

12121 Jones Rd
Houston, TX 77070
Phone (281) 955-0000

314 Sawdust Rd
Ste 119
The Woodlands, TX 77380
Phone (281) 292-3030

Interoperability endpoints

  • Direct secure messaging: aponcedeleon@direct.uspi.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FAGEAA
  • Direct secure messaging: annemarie.poncedeleon.1@27353.direct.athenahealth.com

Organizations & group practices 2

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1083649743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 HIGHWAY 6 STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785131",
            "telephone_number": "281-313-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 HIGHWAY 6 STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785131",
            "telephone_number": "281-313-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE DE LEON",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.