Active NPI
Jose Dabu Leoncio, MD
- Family Medicine Physician
- Chesapeake, VA
National Provider Identifier
1306857909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Practice address
- 1061 NE Washington Hwy
Chesapeake, VA 23323 - Phone
- (757) 485-5371
- Fax
- (757) 485-4590
- NPI assigned
- Aug 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | VA | Primary |
Addresses
Primary practice location
1061 NE Washington Hwy
Chesapeake, VA 23323
Mailing address
1061 NE Washington Hwy
Chesapeake, VA 23323
Phone (757) 485-5371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5676380 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120612000318 | VA | Practitioner - General Practice | 6901060524 | Practice locations: Chesapeake, VA |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 485-5371
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010000871 | VA | MD | Family Medicine Physician |
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chesapeake Regional Surgery Center at Virginia Beach
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1003265075
-
dba Chesapeake General Professional Pharmacy
- Pharmacy
- Chesapeake, VA
- NPI 1558466318
Hospital
-
dba Chesapeake General Hospital
- General Acute Care Hospital
- Chesapeake, VA
- NPI 1700896354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306857909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 NE WASHINGTON HWY",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23323",
"telephone_number": "757-485-5371",
"fax_number": "757-485-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 NE WASHINGTON HWY",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23323",
"telephone_number": "757-485-5371",
"fax_number": "757-485-4590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONCIO",
"first_name": "JOSE",
"middle_name": "DABU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5676380",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.