Jesse Deleon, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G8820 Issued in TX

Practice address

202 James Coleman Dr Ste a
Victoria, TX 77904-3111

Phone

(361) 576-0004

Fax

(361) 573-4000

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HHJCCA

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.

• Citizen's Medical Center County of Victoria

  dba Citizens Medical Professional

  • Multi-Specialty Clinic/Center
  • Victoria, TX
  • NPI 1205242088

  Family Medicine

  Medicare reassignment NPD
• Sleep & Family Medicine LLP

  • Family Medicine Physician
  • Victoria, TX
  • NPI 1649512799
  Medicare reassignment NPD
• South Coast Health Care of Texas, PA

  • General Practice Physician
  • Victoria, TX
  • NPI 1508882036

  Family Medicine

  Medicare reassignment NPD
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585

  Family Medicine

  NPD
• Regional Employee Assistance Program Inc

  • Internal Medicine Physician
  • Victoria, TX
  • NPI 1215999511

  Family Medicine

  NPD
• Regional Employee Assistance Program Inc

  • Family Medicine Physician
  • Corsicana, TX
  • NPI 1649232984
  NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1275553596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 JAMES COLEMAN DR STE A",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043111",
            "telephone_number": "361-576-0004",
            "fax_number": "361-573-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 JAMES COLEMAN DR STE A",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043111",
            "telephone_number": "361-576-0004",
            "fax_number": "361-573-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "JESSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131508706",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "85541B",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Dominic Debona, LMSW
• Colby Dedear
• Darlene Degrand
• Del - Gar, LLC (Direct Medical Supply)
• Dina Anid Deleon, D.C.
• Ana Maria Delgado, MD
• Delores E. White PLLC (Next Step Counseling & Education Center)
• Caitlin Elizabeth Deming, FNP-C
• Jimmy Deng, O.D.
• Dennis D Tillotson DC LLC

• Family Medicine Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.

Verify at the official NPI Registry.