Individual provider Active NPI

Ricardo Leon

  • Physician Assistant
  • Kingston, NY
National Provider Identifier
1396755583
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008394 Issued in NY
Practice address
105 Marys Ave
Kingston, NY 12401-5848
Phone
(845) 338-2500
NPI assigned
Aug 9, 2006
Last updated
Nov 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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 008394 NY Primary

Addresses

Primary practice location

105 Marys Ave
Kingston, NY 12401-5848

Mailing address

117 Marys Ave
Ste 101
Kingston, NY 12401-5849
Phone (631) 232-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070827000425 NY Practitioner - Physician Assistant 0941392658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1100 Route 55
Lagrangeville, NY 12540-5049
Phone (845) 473-0974

2510 Route 44
Salt Point, NY 12578-8040
Phone (845) 677-8358

334 Plaza Rd
Kingston, NY 12401-2975
Phone (845) 876-3003

37 Century Blvd
Millerton, NY 12546-5273
Phone (518) 789-4569

404 Zena Rd
Woodstock, NY 12498-2626
Phone (845) 679-5271

4068 Albany Post Rd
Hyde Park, NY 12538-3900
Phone (845) 229-2123

45 Reade PL
Poughkeepsie, NY 12601-3947

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709

6525 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone (845) 871-3760

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

National Provider Directory

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1396755583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MARYS AVE",
            "address_2": "STE 101",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015849",
            "telephone_number": "631-232-4000",
            "fax_number": "631-851-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MARYS AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015848",
            "telephone_number": "845-338-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "RICARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.