Active NPI
Alicia R. Leffel, M.D.
- Pediatrics Physician
- Keller, TX
National Provider Identifier
1437112133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K3607
- Practice address
- 230 N Rufe Snow Dr
Keller, TX 76248-4226 - Phone
- (817) 337-5503
- Fax
- (817) 337-0110
- NPI assigned
- Apr 11, 2006
- Last updated
- Mar 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K3607 | TX | Primary |
Addresses
Primary practice location
230 N Rufe Snow Dr
Keller, TX 76248-4226
Mailing address
230 N Rufe Snow Dr
Keller, TX 76248-4226
Phone (817) 337-5503
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8K6661 | Other | TX | BCBS |
| 118706405 | Medicaid | TX | |
| 0046KV | Other | TX | BCBS-GROUP |
| 1710006598 | Other | KELLER GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K3607 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omar a. Gomez, M.D.,P.a. | Pediatrics | Past | Accepting new patients |
| Omar a. Gomez, M.D.,P.a. | Pediatrics | Past | Accepting new patients |
| Omar a. Gomez, M.D.P.a. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1437112133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 N RUFE SNOW DR",
"city": "KELLER",
"state": "TX",
"postal_code": "762484226",
"telephone_number": "817-337-5503",
"fax_number": "817-337-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N RUFE SNOW DR",
"city": "KELLER",
"state": "TX",
"postal_code": "762484226",
"telephone_number": "817-337-5503",
"fax_number": "817-337-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFFEL",
"first_name": "ALICIA",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K3607",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8K6661",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118706405",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-GROUP",
"identifier": "0046KV",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KELLER GROUP NPI",
"identifier": "1710006598",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.