Individual provider Active NPI

Celeste Marie Leon, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1144516600
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q0303 Issued in TX
Practice address
1500 S. Main St.
John Peter Smith Hospital
Fort Worth, TX 76104
Phone
(817) 927-3431
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10040050 TX
Family Medicine Physician 207Q00000X Q0303 TX Primary

Addresses

Primary practice location

1500 S. Main St.
John Peter Smith Hospital
Fort Worth, TX 76104

Mailing address

1500 S. Main St.
John Peter Smith Hospital
Fort Worth, TX 76104

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141231001035 TX Practitioner - Emergency MedicinePractitioner - Family Practice 0840513628 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Texas Medical School at Houston, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Star Emergency Associates LLCGroup PAC ID 7113054446, 13 clinicians

Practice addresses (Care Compare)

506 E San Antonio St
De Tar Navarro Hosp ER Dept
Victoria, TX 77901-6060
Phone (361) 575-7441

Hospital & facility affiliations

  • Yoakum Community Hospital Hospital, Yoakum, TX, CCN 451346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10040050TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Associates LLC CurrentSince May 29, 2016 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jun 1, 2022 Accepting new patients
Victoria Emergency Partners LLC CurrentSince May 29, 2015 Accepting new patients
Gonzales Emergency Partners, PLLC CurrentSince Jul 1, 2023 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Concord Medical Group PLLC CurrentSince Nov 1, 2014 Accepting new patients
Lone Star Emergency Associates LLC CurrentSince May 29, 2016 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Nov 1, 2014 Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

3349 S Highway 181
Kenedy, TX 78119
Phone (830) 583-3401

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Interoperability endpoints

  • Direct secure messaging: cleon283568@christushealth.direct-ci.net

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1144516600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S. MAIN ST.",
            "address_2": "JOHN PETER SMITH HOSPITAL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S. MAIN ST.",
            "address_2": "JOHN PETER SMITH HOSPITAL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-927-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "CELESTE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10040050",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q0303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.