NPIMap

Organization Active NPI

Cardiology Associates of West Texas

  • Interventional Cardiology Physician
  • San Angelo, TX
National Provider Identifier
1386653632
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
CARDIOLOGY ASSOCIATES OF WEST TEXAS
Practice address
3180 Executive Dr Ste 102
San Angelo, TX 76904-6837
Phone
(325) 944-1240
NPI assigned
Aug 5, 2006
Last updated
Feb 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Miltiadis Leon, M.D.NPI 1558328690
Title
Director
Phone
(325) 655-7969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X

Addresses

Primary practice location

3180 Executive Dr Ste 102
San Angelo, TX 76904-6837

Mailing address

3180 Executive Dr Ste 102
San Angelo, TX 76904-6837
Phone (325) 944-1240

Other identifiers 3

IdentifierTypeStateIssuer
183372501MedicaidTX
0044NTOtherTXBC/BS GROUP
45D1081287OtherTXCLIA NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061228000352 TX Part B Supplier - Clinic/Group Practice 2769487404 Receives reassigned benefits from 9 practitioners
Practice locations: San Angelo, TX; San Antonio, TX; Fort Worth, TX; Del Rio, TX; Brownwood, TX; Brady, TX; Big Lake, TX

National Provider Directory

National Provider Directory

Locations

800 N Main Ave
Ste 1
Big Lake, TX 76932
Phone (325) 481-2183

3501 Executive Dr
San Angelo, TX 76904
Phone (325) 747-8025

1908 N Laurent St
Ste 200
Victoria, TX 77901

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1386653632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 EXECUTIVE DR STE 102",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046837",
            "telephone_number": "325-944-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 EXECUTIVE DR STE 102",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046837",
            "telephone_number": "325-944-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY ASSOCIATES OF WEST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "MILTIADIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "325-655-7969",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183372501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP",
            "identifier": "0044NT",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "45D1081287",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.