Individual provider Active NPI

Maria D Vera Leon, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1376912410
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1657 Issued in NV
Practice address
2831 Business Park CT Ste 130
Las Vegas, NV 89128-9000
Phone
(702) 844-4848
Fax
(702) 844-4849
NPI assigned
Sep 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1657 NV Primary

Addresses

Primary practice location

2831 Business Park CT Ste 130
Las Vegas, NV 89128-9000

Mailing address

2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950

Other identifiers 1

IdentifierTypeStateIssuer
1376912410MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20151204000404 NV Practitioner - Physician Assistant 4284934894 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maria Habbi MDGroup PAC ID 5698190668, 3 clinicians

Practice addresses (Care Compare)

601 S Rancho Dr
Suite D28
Las Vegas, NV 89106-4827
Phone (702) 473-5495

Merit-based Incentive Payment System (MIPS)

Final score
97.64 of 100Reported as group
Quality
100
Improvement activities
40
Cost
58.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1657NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
P3 Health Partners Professional Services PC Physician Assistant Past Accepting new patients

Organizations & group practices 4

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": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1376912410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950",
            "fax_number": "702-778-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 BUSINESS PARK CT STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289000",
            "telephone_number": "702-844-4848",
            "fax_number": "702-844-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA LEON",
        "first_name": "MARIA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376912410",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.