Individual provider Active NPI

John Leal, NP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1356762405
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
677625 Issued in TX
Practice address
13423 Blanco Rd # 8046
San Antonio, TX 78216-2187
Phone
(210) 568-5816
Fax
(210) 399-4637
NPI assigned
Dec 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 677625 TX Primary

Addresses

Primary practice location

13423 Blanco Rd # 8046
San Antonio, TX 78216-2187

Mailing address

PO Box 53666
Midland, TX 79710-3666
Phone (210) 568-5816

Other practice location 1

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 722-7869

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140625000313 TX Practitioner - Nurse Practitioner 4789809278 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as group
Quality
92.78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
677625TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA CurrentSince Mar 25, 2020 Accepting new patients
Access Total Care-Cibolo Schertz LLC CurrentSince Apr 1, 2022 Accepting new patients
Encino Park Family Health & Wellness Clinic Family CurrentSince Sep 13, 2019 Accepting new patients
Third Coast Emergency Physicians Southwest PA CurrentSince Aug 8, 2022 Accepting new patients
Tri County Family Medical Care Group LLC Past Accepting new patients
Chest Diagnostic Therapeutic SVCS & Transit Nursing of TX, Inc Past Accepting new patients
Midland Memorial Outpatient Pharmacy Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

630 W State Highway 71
Bastrop, TX 78602
Phone (737) 881-7400

4141 S Staples St
Ste 101
Corpus Christi, TX 78411
Phone (361) 851-6626

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

13423 Blanco Rd
San Antonio, TX 78216

22103 Bulverde Rd
Ste 104
San Antonio, TX 78259
Phone (210) 399-4637

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

1264 FM 78
Ste 115
Schertz, TX 78154
Phone (210) 332-5198

Interoperability endpoints

  • Direct secure messaging: john.leal.1@30127.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1356762405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53666",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797103666",
            "telephone_number": "210-568-5816",
            "fax_number": "210-399-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13423 BLANCO RD # 8046",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162187",
            "telephone_number": "210-568-5816",
            "fax_number": "210-399-4637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-722-7869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAL",
        "first_name": "JOHN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-16",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "677625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.