Organization Active NPI

Graciela M Leija MD PA

  • Internal Medicine Physician
  • Brownsville, TX
National Provider Identifier
1083886303
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GRACIELA M LEIJA MD PA
Practice address
95 E. Price Rd.
Ste. E
Brownsville, TX 78521-3565
Phone
(956) 504-4800
Fax
(956) 504-4801
NPI assigned
Mar 26, 2008
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Dr. Graciela M Leija, M.D.NPI 1679674170
Title
Owner
Phone
(956) 504-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

95 E. Price Rd.
Ste. E
Brownsville, TX 78521-3565

Mailing address

95 E. Price Rd.
Ste. E
Brownsville, TX 78521-3565
Phone (956) 504-4800

Other practice location 1

2400 Wheless Ln
Austin, TX 78723-2016
Phone (512) 363-5725

Other identifiers 1

IdentifierTypeStateIssuer
45D1083322OtherTXCLIA CERTIFICATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080416000612 TX Part B Supplier - Clinic/Group Practice 9537247598 Receives reassigned benefits from 1 practitioner
Practice locations: Brownsville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1083322Graciela Leija MD PA95 E Price Road, Suite E, Brownsville, TX 78521Certificate of waiverApr 29, 2028

National Provider Directory

National Provider Directory

Locations

95 E Price Rd
Ste E
Brownsville, TX 78521
Phone (956) 504-4800

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1083886303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 E. PRICE RD.",
            "address_2": "STE. E",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213565",
            "telephone_number": "956-504-4800",
            "fax_number": "956-584-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 E. PRICE RD.",
            "address_2": "STE. E",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213565",
            "telephone_number": "956-504-4800",
            "fax_number": "956-504-4801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Wheless Ln",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787232016",
            "country_code": "US",
            "telephone_number": "512-363-5725",
            "fax_number": "512-363-5901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACIELA M LEIJA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "LEIJA",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-504-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE",
            "identifier": "45D1083322",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.