Alejandro Leon, M.D. – Ophthalmology Physician

Key facts

NPI: 1104019645
Entity type: Individual (NPI type 1)
Primary specialty: Ophthalmology Physician 207W00000X
License: MD.203170 (LA)
Practice address: 200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone: (504) 896-9426
Fax: (504) 896-9312
NPI assigned: Aug 18, 2007
Sex: Male
Sole proprietor: No

Organizations & group practices 3

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.

Children'S Hospital Specialist · New Orleans, LA · NPI 1306156138

Medicare reassignment Care Compare group NPD LA
Children'S Hospital Specialist · New Orleans, LA · NPI 1043230873

Medicare reassignment NPD LA
Children'S Hospital End-Stage Renal Disease (ESRD) Treatment Clinic/Center · New Orleans, LA · NPI 1568597649

NPD

Hospital & facility affiliations 1

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

Children'S Hospital Children's Hospital · New Orleans, LA · NPI 1104819366

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Ophthalmology
Education: Other, 2001
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Children'S Hospital (20 clinicians)

Practice addresses (Care Compare)

200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 896-9745

Hospital & facility affiliations

Childrens Hospital Hospital · New Orleans, LA · CCN 193300

Medicare participation

Medicare fee-for-service enrollment: Enrolled in LA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20101208000018	LA	Practitioner - Ophthalmology	8123199239	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
MD.203170	LA	MD	Ophthalmology Physician

Practice roles

Organization	Status	New patients
Children'S Hospital	Current since Sep 29, 2010	Accepting new patients
Children'S Hospital	Current since Nov 1, 2010	Accepting new patients
Children'S Hospital	Current since Sep 29, 2010	Accepting new patients

Locations

5025 Keystone Blvd
Covington, LA 70433
Phone (806) 535-3781

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

200 Henry Clay Ave
Ste 3104
New Orleans, LA 70118

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Ophthalmology Physician	207W00000X	37815	IA
Ophthalmology Physician	207W00000X	MD.203170	LA	Yes

Addresses

Primary practice location

200 Henry Clay Ave
New Orleans, LA 70118-5720

Mailing address

200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 896-9426

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 10, 2011.

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1104019645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185720",
            "telephone_number": "504-896-9426",
            "fax_number": "504-896-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185720",
            "telephone_number": "504-896-9426",
            "fax_number": "504-896-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "ALEJANDRO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-18",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "37815",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD.203170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

All providers in New Orleans, LA · Ophthalmology Physician in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.