Active NPI
Sergio A Leon, M.D.
- Rheumatology Physician
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- S4806
- Practice address
- 3030 North St Ste 450
Beaumont, TX 77702-1434 - Phone
- (409) 832-9600
- Fax
- (409) 832-9310
- NPI assigned
- Jul 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ME 104595 | FL | |
| Rheumatology Physician | 207RR0500X | D0071211 | MD | |
| Rheumatology Physician | 207RR0500X | 0101249525 | VA | |
| Rheumatology Physician | 207RR0500X | S4806 | TX | Primary |
Addresses
Primary practice location
3030 North St Ste 450
Beaumont, TX 77702-1434
Mailing address
2900 Saint Michael Dr Ste 401
Texarkana, TX 75503-5211
Phone (903) 614-5367
Other practice location 1
3027 Javier Rd
Suite 2
Fairfax, VA 22031-4652
Phone (703) 573-2220
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 939915 | Other | TX | MEDICARE |
| P00815670 | Other | FL | RAILROAD MEDICARE |
| 1K1864 | Other | TX | MEDICARE |
| P02601534 | Other | TX | MCRR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3030 N St
450 Christus St. Elizabeth Med GRP Setx Rhe
Beaumont, TX 77702-1434
Phone (409) 832-9600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 104595 | FL | MD | Rheumatology Physician |
| 0101249525 | VA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Rheumatology | Current | Accepting new patients |
| Trinity Clinic | Past | Accepting new patients |
Locations
3030 North St
Ste 450
Beaumont, TX 77702
Phone (409) 832-9600
3030 North St
Ste 420
Beaumont, TX 77702
Phone (409) 835-2900
2246 Nall St
Port Neches, TX 77651
Phone (409) 344-4010
2900 Saint Michael Dr
Ste 401
Texarkana, TX 75503
Phone (903) 614-5353
Interoperability endpoints
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
- sleon239680@christushealth.direct-ci.net
- https://fhir4.healow.com/fhir/r4/HAEBBD
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
-
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Family Medicine Physician
- Tyler, TX
- NPI 1922058304
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1093744187
-
- Rural Acute Care Hospital
- Jasper, TX
- NPI 1598749707
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1679557888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1083814057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 SAINT MICHAEL DR STE 401",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755035211",
"telephone_number": "903-614-5367",
"fax_number": "903-614-5343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 NORTH ST STE 450",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021434",
"telephone_number": "409-832-9600",
"fax_number": "409-832-9310"
}
],
"practiceLocations": [
{
"address_1": "3027 Javier Rd",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220314652",
"country_code": "US",
"telephone_number": "703-573-2220",
"fax_number": "703-573-7767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEON",
"first_name": "SERGIO",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-19",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "ME 104595",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MD",
"license": "D0071211",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "VA",
"license": "0101249525",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "TX",
"license": "S4806",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "939915",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00815670",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1K1864",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCRR",
"identifier": "P02601534",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.