Individual provider Active NPI

George W Leon, MD

  • Diagnostic Radiology Physician
  • Glendale, AZ
National Provider Identifier
1417928276
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
40466 Issued in AZ
Practice address
5605 W Eugie Ave Ste 110
Glendale, AZ 85304-1273
Phone
(623) 847-2000
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 40466 AZ Primary
Vascular & Interventional Radiology Physician 2085R0204X 40466 AZ

Addresses

Primary practice location

5605 W Eugie Ave Ste 110
Glendale, AZ 85304-1273

Mailing address

2323 W Rose Garden LN
Phoenix, AZ 85027-2530
Phone (623) 931-7999

Other practice location 1

2323 W Rose Garden Ln
Phoenix, AZ 85027-2530
Phone (623) 931-7999

Other identifiers 1

IdentifierTypeStateIssuer
351175MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20080917000534 AZ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1456324177 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of South Florida College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

1000 N Humphreys St
Suite 100
Flagstaff, AZ 86001-3124
Phone (928) 223-0200

10440 E Riggs Rd
110 Simonmed Imaging Sun Lakes
Sun Lakes, AZ 85248-7751
Phone (480) 883-6860

10815 W McDowell Rd
102 Simonmed Imaging Avondale
Avondale, AZ 85392-5009
Phone (623) 433-0121

10825 W McDowell Rd
110 Simonmed Imaging Avondale Akos
Avondale, AZ 85392-5107
Phone (623) 251-6030

1111 S Dobson Rd
105 Simonmed Imaging Mesa Desert
Mesa, AZ 85202-3902
Phone (480) 964-4995

130 S 63Rd St
123 Simonmed Imaging Baywood
Mesa, AZ 85206-1604
Phone (480) 264-4900

1331 N 7TH St
150 Simonmed Imaging Phoenix High Field
Phoenix, AZ 85006-2711
Phone (602) 253-0000

1345 E McKellips Rd
106 Simonmed Imaging McKellips
Mesa, AZ 85203-2721
Phone (480) 265-8101

13624 W Camino del Sol
300 Simonmed Imaging Sun City West
Sun City West, AZ 85375-3402
Phone (623) 214-6609

13657 W McDowell Rd
111 Simonmed Imaging Palm Valley II
Goodyear, AZ 85395-2602
Phone (623) 302-7930

13838 S 46TH PL
200 Simonmed Imaging Ahwatukee North
Phoenix, AZ 85044-7803
Phone (480) 763-7278

1425 S Greenfield Rd BLDG 2
Mesa, AZ 85206-5505

14823 W Bell Rd
110 Simonmed Imaging Stadium Village
Surprise, AZ 85374-7604
Phone (623) 302-7900

15810 S 45TH St
110 Simonmed Imaging Ahwatukee
Phoenix, AZ 85048-7695
Phone (480) 753-6161

1664 E Florence Blvd
18 Simonmed Imaging Casa Grande
Casa Grande, AZ 85122-4779
Phone (520) 421-4875

1760 E Pecos Rd
101 Simonmed Imaging Rome Towers
Gilbert, AZ 85295-3201
Phone (480) 855-8060

1845 W Orange Grove Rd
103 Simonmed Imaging Orange Grove
Tucson, AZ 85704-1147
Phone (520) 230-4900

1870 W Frye Rd
3 Simonmed Imaging Dobson II
Chandler, AZ 85224-6233
Phone (480) 264-2350

1960 W Frye Rd
1 Simonmed Imaging Dobson Womens Center
Chandler, AZ 85224-6238
Phone (480) 306-7340

20414 N 27TH Ave
150 Simonmed Imaging Deer Valley
Phoenix, AZ 85027-3246
Phone (623) 234-2520

2080 W Southern Ave BLDG C
Simonmed Imaging Apache Junction
Apache Junction, AZ 85120-7653
Phone (480) 474-5960

20830 N Tatum Blvd
190 Simonmed Imaging Desert Ridge
Phoenix, AZ 85050-7253
Phone (480) 306-7900

21115 E Rittenhouse Rd
Simonmed Imaging Rittenhouse
Queen Creek, AZ 85142-4838
Phone (480) 371-3491

235 S Dobson Rd
1 Simonmed Imaging Dobson I
Chandler, AZ 85224-6229
Phone (480) 264-2300

2500 S 8TH Ave
Suite 103
Yuma, AZ 85364-7132
Phone (928) 304-7801

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2012 Accepting new patients
Page Hospital Current Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jan 3, 2023 Accepting new patients
Banner Imaging Services LLC CurrentSince Jan 1, 2020 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jul 24, 2020 Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2012 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
RMR Investments Inc Diagnostic Radiology Past Accepting new patients
Rocky Mountain Radiologists PC Diagnostic Radiology Past Accepting new patients
Scottsdale Medical Imaging, LTD Diagnostic Radiology Past Accepting new patients
New Schryver LLC Past Accepting new patients
RMR Craig Prof LLC Diagnostic Radiology Past Accepting new patients
Yampa Valley Medical Center Past Accepting new patients

Locations (25 of 68)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1828 E Florence Blvd
Ste B118
Casa Grande, AZ 85122

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1076 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (480) 821-9198

665 N Gilbert Rd
Ste 154
Gilbert, AZ 85234
Phone (480) 507-4500

3645 S Rome St
Ste 101
Gilbert, AZ 85297

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5757 W Thunderbird Rd
Ste W100
Glendale, AZ 85306
Phone (623) 931-7999

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

18275 N 59th Ave
Ste 168
Glendale, AZ 85308

5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420

7701 W Aspera Blvd
Ste 101
Glendale, AZ 85308
Phone (623) 248-2100

5310 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 978-0892

1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624

13555 W McDowell Rd
Ste 106
Goodyear, AZ 85395
Phone (623) 535-0917

1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1940 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (480) 476-8800

6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6424 E Broadway Rd
Ste 101
Mesa, AZ 85206
Phone (602) 830-0619

1450 S Dobson Rd
Ste A100
Mesa, AZ 85202
Phone (480) 545-9779

Networks

  • Freedom Health HMO Network

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1417928276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W ROSE GARDEN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272530",
            "telephone_number": "623-931-7999",
            "fax_number": "623-842-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W EUGIE AVE STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041273",
            "telephone_number": "623-847-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 W Rose Garden Ln",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850272530",
            "country_code": "US",
            "telephone_number": "623-931-7999",
            "fax_number": "623-842-5640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "GEORGE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "40466",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "40466",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351175",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.