NPIMap

Individual provider Active NPI

Lesly Dessieux, DO

  • Family Medicine Physician
  • Cypress, TX
National Provider Identifier
1336215490
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P0372 Issued in TX
Practice address
10920 Fry Rd
Ste 100
Cypress, TX 77433-4061
Phone
(832) 220-5103
Fax
(281) 256-8719
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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 P0372 TX Primary

Addresses

Primary practice location

10920 Fry Rd
Ste 100
Cypress, TX 77433-4061

Mailing address

10920 Fry Rd
Ste 100
Cypress, TX 77433-4061
Phone (832) 220-5103

Other identifiers 1

IdentifierTypeStateIssuer
P0372OtherTXMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000519 TX Practitioner - General PracticePractitioner - Family Practice 2466452933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10920 Fry Rd
Cypress, TX 77433-4144
Phone (832) 220-5103

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince May 17, 2018 Accepting new patients
Medistop Clinic, PA CurrentSince Sep 10, 2012 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince May 17, 2018 Accepting new patients
Saint Lukes Hospital of Chillicothe Past Accepting new patients
Murray Medical Center, Inc. Past Accepting new patients
Chiron Medical Clinic Inc. Family Medicine Past Accepting new patients
The Health Depot Past Accepting new patients
Saint Luke's Hospital of Trenton Past Accepting new patients

Locations

10920 Fry Rd
Ste 101
Cypress, TX 77433

16700 House Hahl Rd
Bldg 5
Cypress, TX 77433
Phone (832) 220-5103

10920 Fry Rd
Ste 100
Cypress, TX 77433
Phone (832) 220-5103

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

11211 S Highway 6
Ste A
Sugar Land, TX 77498
Phone (281) 491-5500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: lesly.dessieux.1@8042.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1336215490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 FRY RD",
            "address_2": "STE 100",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334061",
            "telephone_number": "832-220-5103",
            "fax_number": "281-256-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 FRY RD",
            "address_2": "STE 100",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334061",
            "telephone_number": "832-220-5103",
            "fax_number": "281-256-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSIEUX",
        "first_name": "LESLY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "P0372",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.