Individual provider Active NPI

Jose C Deleon, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1275639866
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-3031 Issued in HI
Practice address
1520 Liliha St
203
Honolulu, HI 96817-3562
Phone
(808) 528-3571
Fax
(808) 528-0196
NPI assigned
Sep 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-3031 HI Primary

Addresses

Primary practice location

1520 Liliha St
203
Honolulu, HI 96817-3562

Mailing address

1520 Liliha St
203
Honolulu, HI 96817-3562
Phone (808) 528-3571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20051018000569 HI Practitioner - Internal Medicine 3870519036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1520 Liliha St
Honolulu, HI 96817-3563

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-3031HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
De Leon Medical Clinic Inc Internal Medicine CurrentSince Oct 19, 1994 Accepting new patients
Venture Medical 21 Inc CurrentSince Oct 7, 2019 Accepting new patients

Locations

91-896 Makule Rd
Ste 102
Ewa Beach, HI 96706
Phone (808) 689-4414

1520 Liliha St
Ste 203
Honolulu, HI 96817
Phone (808) 528-3571

737 Bishop St
Ste 2520
Honolulu, HI 96813

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275639866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 LILIHA ST",
            "address_2": "203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173562",
            "telephone_number": "808-528-3571",
            "fax_number": "808-528-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 LILIHA ST",
            "address_2": "203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173562",
            "telephone_number": "808-528-3571",
            "fax_number": "808-528-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "JOSE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-3031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.