Active NPI
John A Leotaud Jr., M.D
- Pediatric Critical Care Medicine Physician
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 4301509340
- Practice address
- 4602 Ocean Dr Apt 3003
Corpus Christi, TX 78412-2755 - Phone
- (347) 484-6818
- NPI assigned
- May 18, 2015
- Last updated
- May 12, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | S0004 | TX | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 4301509340 | MI | Primary |
Addresses
Primary practice location
4602 Ocean Dr Apt 3003
Corpus Christi, TX 78412-2755
Mailing address
3533 S Alameda St
Corpus Christi, TX 78411-1721
Phone (347) 484-6818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3901 Beaubien St
Detroit, MI 48201-2119
Phone (313) 745-5870
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301509340 | MI | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pediatricians | Current | Accepting new patients | |
| University Pediatricians | Single Specialty | Current | Accepting new patients |
| VHS Childrens Hospital of Michigan Inc | Past | Accepting new patients |
Locations
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
3901 Beaubien St
Ste H
Detroit, MI 48201
Phone (313) 745-5437
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Plastic Reconstructive Surgical Services of South Texas
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
-
- Pediatrics Physician
- Detroit, MI
- NPI 1184471690
-
dba Childrens Hospital of Michigan
- Children's Hospital
- Detroit, MI
- NPI 1538471800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1144608522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 S ALAMEDA ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784111721",
"telephone_number": "347-484-6818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 OCEAN DR APT 3003",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784122755",
"telephone_number": "347-484-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEOTAUD",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-18",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "S0004",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "MI",
"license": "4301509340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.