Individual provider Active NPI

Alexander Jacob Leeds

  • Otolaryngology Physician
  • Fort Hood, TX
National Provider Identifier
1407314396
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD21687 Issued in HI
Practice address
590 Medical Center Road
Fort Hood, TX 76544-5060
Phone
(254) 288-8000
NPI assigned
Mar 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD21687 HI Primary

Addresses

Primary practice location

590 Medical Center Road
Fort Hood, TX 76544-5060

Mailing address

590 Medical Center Road
Fort Hood, TX 76544-5060
Phone (785) 969-2754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802003212 HI Practitioner - Otolaryngology 5991242315 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD21687HIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Queens University Medical Group CurrentSince Dec 30, 2024 Accepting new patients
The Queens Medical Center CurrentSince Dec 30, 2024 Accepting new patients
The Queens Medical Center CurrentSince Dec 30, 2024 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Jul 1, 2024 Accepting new patients
The Queen'S Medical Center Current Accepting new patients
The Queens Medical Center - Progressive Care Unit Past Accepting new patients

Locations

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

1380 Lusitana St
Ste 615
Honolulu, HI 96813
Phone (808) 521-8109

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859
Phone (808) 433-2460

Interoperability endpoints

  • Direct secure messaging: aleeds1372567@ahs.direct-ci.com

Organizations & group practices 6

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": "1552089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1407314396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER ROAD",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "785-969-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER ROAD",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "254-288-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDS",
        "first_name": "ALEXANDER",
        "middle_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-09",
        "last_updated": "2025-07-10",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "HI",
            "license": "MD21687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Hood, TX

Sources for this page

Verify at the official NPI Registry.