Individual provider Active NPI

Leonardo Ivan Mejia, DO

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1154908887
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
011127 Issued in AZ
Practice address
9348 E Rita Rd Ste 140
Tucson, AZ 85747-6301
Phone
(520) 324-1036
Fax
(520) 324-1035
NPI assigned
Mar 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 011127 AZ Primary

Addresses

Primary practice location

9348 E Rita Rd Ste 140
Tucson, AZ 85747-6301

Mailing address

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-2308

Other practice location 1

501 S Washington Ave
Scranton, PA 18505-3814
Phone (570) 591-5132

Other practice location 2

1230 S Cherrybell Stra
Tucson, AZ 85713-1907
Phone (520) 670-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20241017004049 AZ Practitioner - Family Practice 0042742850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

9348 E Rita Rd
Suite 180
Tucson, AZ 85747-6312
Phone (520) 324-4499

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Oct 15, 2024 Accepting new patients

Locations

9348 E Rita Rd
Ste 180
Tucson, AZ 85747
Phone (520) 324-4499

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

9348 E Rita Rd
Ste 140
Tucson, AZ 85747
Phone (520) 324-1036

9356 E Rita Rd
Ste 100
Tucson, AZ 85747
Phone (520) 322-8361

3476 S Kino Pkwy
Tucson, AZ 85713
Phone (520) 420-2340

Organizations & group practices 1

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": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1154908887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122805",
            "telephone_number": "520-324-2308",
            "fax_number": "520-324-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9348 E RITA RD STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857476301",
            "telephone_number": "520-324-1036",
            "fax_number": "520-324-1035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185053814",
            "country_code": "US",
            "telephone_number": "570-591-5132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 S Cherrybell Stra",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857131907",
            "country_code": "US",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "LEONARDO",
        "middle_name": "IVAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-27",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "011127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.