Active NPI
Leandro Tuazon Cabanilla, MD
- Surgery Physician
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00032181
- Practice address
- 3730 Plaza Way
Kennewick, WA 99338-2718 - Phone
- (509) 221-6550
- Fax
- (509) 221-6230
- NPI assigned
- Aug 30, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00032181 | WA | Primary |
Addresses
Primary practice location
3730 Plaza Way
Kennewick, WA 99338-2718
Mailing address
3730 Plaza Way
Kennewick, WA 99338-2718
Phone (509) 221-6550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1122266 | Medicaid | WA | |
| 203198509 | Other | BLUE CROSS SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | leandro.cabanilla@trioshealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00032181 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RCCH Trios Health LLC | Current | Accepting new patients |
Locations
900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111
216 W 10th Ave
Ste 202
Kennewick, WA 99336
Phone (509) 221-5510
216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520
3730 Plaza Way
Kennewick, WA 99338
Phone (509) 221-6350
521 N Young St
Kennewick, WA 99336
Phone (509) 221-5222
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Kennewick, WA
- NPI 1831682806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1386754265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 PLAZA WAY",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993382718",
"telephone_number": "509-221-6550",
"fax_number": "509-586-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3730 PLAZA WAY",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993382718",
"telephone_number": "509-221-6550",
"fax_number": "509-221-6230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABANILLA",
"first_name": "LEANDRO",
"middle_name": "TUAZON",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00032181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1122266",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS SHIELD",
"identifier": "203198509",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "leandro.cabanilla@trioshealth.org",
"affiliation": "N",
"endpointDescription": "hospital email",
"address_1": "3730 Plaza Way",
"city": "Kennewick",
"state": "WA",
"country_code": "US",
"postal_code": "993382718",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.