Active NPI
Leonel Jorge Favio Estofan, MD
- Epilepsy Physician
- Edinburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Epilepsy Physician
- License
- S9499
- Practice address
- 2821 Michaelangelo Dr Ste 305
Edinburg, TX 78539-1405 - Phone
- (956) 362-8100
- Fax
- (956) 362-8105
- NPI assigned
- Jun 25, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | S9499 | TX | |
| Epilepsy Physician | 2084E0001X | S9499 | TX | Primary |
Addresses
Primary practice location
2821 Michaelangelo Dr Ste 305
Edinburg, TX 78539-1405
Mailing address
PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-8100
Other practice location 1
505 Angelita Dr Ste 14
Weslaco, TX 78599-8694
Phone (956) 362-3720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Epileptologists
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2821 W Michaelangelo Dr
Suite 305
Edinburg, TX 78539-1405
Phone (956) 362-8100
Hospital & facility affiliations
- Doctors Hosptal at Renaissance
- South Texas Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.1 of 100
- Quality
- 86
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Medical Foundation | Current | Accepting new patients |
Locations
2821 W Michaelangelo Dr
Ste 302
Edinburg, TX 78539
Phone (361) 980-1244
2821 W Michaelangelo Dr
Ste 305
Edinburg, TX 78539
Phone (956) 362-8100
5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300
2821 W Michaelangelo Dr
Ste 200
Edinburg, TX 78539
Phone (956) 362-8215
1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303
505 Angelita Dr
Ste 14
Weslaco, TX 78599
Phone (956) 362-3720
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
- Edinburg, TX
- NPI 1467633867
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
-
- Transplant Surgery Physician
- McAllen, TX
- NPI 1104338052
Hospital
-
- Psychiatric Hospital Unit
- Edinburg, TX
- NPI 1053301754
-
- General Acute Care Hospital
- Edinburg, TX
- NPI 1770573586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1417339409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749",
"city": "PHARR",
"state": "TX",
"postal_code": "785771614",
"telephone_number": "956-362-8100",
"fax_number": "956-362-8105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 MICHAELANGELO DR STE 305",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785391405",
"telephone_number": "956-362-8100",
"fax_number": "956-362-8105"
}
],
"practiceLocations": [
{
"address_1": "505 Angelita Dr Ste 14",
"address_purpose": "LOCATION",
"city": "Weslaco",
"state": "TX",
"postal_code": "785998694",
"country_code": "US",
"telephone_number": "956-362-3720",
"fax_number": "956-362-3737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESTOFAN",
"first_name": "LEONEL",
"middle_name": "JORGE FAVIO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-25",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "S9499",
"primary": false
},
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "TX",
"license": "S9499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.