Individual provider Active NPI

Lourdes Perezroman-Leon, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1295794451
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J9535 Issued in TX
Practice address
527 N Leona St
San Antonio, TX 78207-3110
Phone
(210) 358-3401
Fax
(210) 358-3664
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

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
Family Medicine Physician 207Q00000X J9535 TX Primary

Addresses

Primary practice location

527 N Leona St
San Antonio, TX 78207-3110

Mailing address

527 N Leona St
San Antonio, TX 78207-3110
Phone (210) 358-3401

Other identifiers 1

IdentifierTypeStateIssuer
045496901MedicaidTX

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
I20050316000156 TX Practitioner - Family Practice 3274588900 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince Jan 1, 2016 Accepting new patients
TMC Provider Group PLLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Community Medicine Associates Family Medicine CurrentSince Jul 1, 2000 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients
The University of Texas Health Science Center at San Antonio Past Accepting new patients
University of Texas Health Science Center at San Antonio Family Medicine Past Accepting new patients

Locations

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

11811 Blanco Rd
San Antonio, TX 78216
Phone (210) 341-5588

23611 Ih 10 W
Ste 101
San Antonio, TX 78257
Phone (210) 698-6617

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

Organizations & group practices 10

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.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLC 213 clinicians

Practice addresses (Care Compare)

13722 Embassy Row
San Antonio, TX 78216-2000
Phone (726) 207-3656

23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617

6530 W Loop 1604
San Antonio, TX 78254-6319
Phone (210) 476-5577

9885W Interstate 10
San Antonio, TX 78230-2245
Phone (210) 696-5599

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295794451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N LEONA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073110",
            "telephone_number": "210-358-3401",
            "fax_number": "210-358-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N LEONA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073110",
            "telephone_number": "210-358-3401",
            "fax_number": "210-358-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZROMAN-LEON",
        "first_name": "LOURDES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045496901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.