Active NPI
Jeffrey Leslie, MD
- Pediatric Urology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- K9836
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118863313 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K9836 | TX | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| Magella Medical Associates Billing, Inc. | Current | 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
- https://api.platform.athenahealth.com/8249/brand/1/csg/1/fhir/r4
- 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.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
-
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
-
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
-
- Specialist
- San Antonio, TX
- NPI 1942251210
-
- Diagnostic Radiology Physician
- Lubbock, TX
- NPI 1598260515
-
- Diagnostic Radiology Physician
- Austin, TX
- NPI 1801193933
-
- General Practice Physician
- Yoakum, TX
- NPI 1619399128
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.