Individual provider Active NPI

Jeffrey Leslie, MD

  • Pediatric Urology Physician
  • San Antonio, TX
National Provider Identifier
1245378124
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
K9836 Issued in TX
Practice address
333 N Santa Rosa
San Antonio, TX 78207-3108
Phone
(210) 704-4100
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X K9836 TX
Pediatric Urology Physician 2088P0231X K9836 TX Primary

Addresses

Primary practice location

333 N Santa Rosa
San Antonio, TX 78207-3108

Mailing address

4499 Medical Dr Ste 347
San Antonio, TX 78229-3853
Phone (210) 615-8757

Other practice location 1

4499 Medical Dr Ste 347
San Antonio, TX 78229-3853
Phone (210) 615-8757

Other identifiers 1

IdentifierTypeStateIssuer
118863313MedicaidTX

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
I20040105000772 TX Practitioner - UrologyPractitioner - Pediatric Medicine 3375442775 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K9836TXMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Aug 1, 2024 Accepting new patients
Magella Medical Associates Billing, Inc. CurrentSince Jan 14, 2013 Accepting new patients
East San Antonio Images Inc Past Accepting new patients
Yoakum Community Hospital Past Accepting new patients
Concord Radiology PLLC Past Accepting new patients
Bexar Pediatric Surgery Associates PLLC Past Accepting new patients

Locations

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

3533 S Alameda St
Ste 203
Corpus Christi, TX 78411

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

2821 W Michaelangelo Dr
Ste 203
Edinburg, TX 78539
Phone (956) 362-2517

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

3100 Avenue E
Hondo, TX 78861
Phone (830) 426-7700

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

4499 Medical Dr
Ste 360
San Antonio, TX 78229
Phone (210) 614-3100

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

4499 Medical Dr
Ste 347
San Antonio, TX 78229
Phone (210) 615-8757

7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8249/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jleslie416068@christushealth.direct-ci.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1245378124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 347",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293853",
            "telephone_number": "210-615-8757",
            "fax_number": "210-615-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4499 Medical Dr Ste 347",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293853",
            "country_code": "US",
            "telephone_number": "210-615-8757",
            "fax_number": "210-615-8789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "K9836",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "TX",
            "license": "K9836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118863313",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.