Individual provider Active NPI

Jason Deleon, MD

  • Emergency Medicine Physician
  • Lakeland, FL
National Provider Identifier
1427121029
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
29734 Issued in AL
Practice address
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone
(863) 687-1100
NPI assigned
Nov 15, 2006
Last updated
Jul 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 29734 AL Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X ME122537 FL

Addresses

Primary practice location

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

Mailing address

231 N Kentucky Ave Ste 220
Lakeland, FL 33801-4910
Phone (334) 790-9661

Other practice location 1

231 N Kentucky Ave Ste 220
Lakeland, FL 33801-4910
Phone (863) 899-2404

Other identifiers 2

IdentifierTypeStateIssuer
002605700MedicaidFL
120420MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101006000385 AL Practitioner - Emergency Medicine 3476745647 Reassigns benefits to 1 organization
I20150514000594 FL Practitioner - Emergency Medicine 3476745647 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29734ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority Current Accepting new patients
Pathology Laboratory Associates Current Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jul 25, 2018 Accepting new patients
University of Florida Jacksonville Physicians Inc Emergency Medicine CurrentSince Aug 7, 2015 Accepting new patients
Houston County Healthcare Authority Emergency Medicine CurrentSince Jul 7, 2010 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Houston County Healthcare Authority CurrentSince Jul 7, 2010 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Aug 7, 2015 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Medcore Associates, PLLC Current Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1427121029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 N KENTUCKY AVE STE 220",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014910",
            "telephone_number": "334-790-9661",
            "fax_number": "207-705-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054543",
            "telephone_number": "863-687-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 N Kentucky Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338014910",
            "country_code": "US",
            "telephone_number": "863-899-2404",
            "fax_number": "207-705-5512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELEON",
        "first_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "29734",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "ME122537",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002605700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120420",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.