Individual provider Active NPI

Leopoldo Lapuerta Jr., M.D.

  • Plastic Surgery Physician
  • Pearland, TX
National Provider Identifier
1437165073
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
H6365 Issued in TX
Practice address
2360 County Road 94
Suite 104
Pearland, TX 77584
Phone
(713) 340-0990
Fax
(713) 340-0991
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X H6365 TX Primary
Surgery of the Hand (Surgery) Physician 2086S0105X H6365 TX

Addresses

Primary practice location

2360 County Road 94
Suite 104
Pearland, TX 77584

Mailing address

2360 County Road 94
Suite 104
Pearland, TX 77584
Phone (713) 340-0990

Other identifiers 2

IdentifierTypeStateIssuer
760580301OtherTXTAX ID
029716001MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040424000092 TX Practitioner - Plastic and Reconstructive Surgery 4082600937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2360 County Rd
94 Suite 104
Pearland, TX 77584-5135
Phone (713) 340-0990

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leopoldo Lapuerta Jr, M.D., P.a. Plastic Surgery CurrentSince Jan 15, 2005 Accepting new patients
Bruce K. Smith, MD, PA PastSince Apr 18, 2012 Accepting new patients

Locations

1315 St Joseph Pkwy
Ste 950
Houston, TX 77002
Phone (713) 356-7848

2360 County Road 94
Ste 104
Pearland, TX 77584
Phone (713) 340-0990

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1437165073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 COUNTY ROAD 94",
            "address_2": "SUITE 104",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "713-340-0990",
            "fax_number": "713-340-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 COUNTY ROAD 94",
            "address_2": "SUITE 104",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "713-340-0990",
            "fax_number": "713-340-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPUERTA",
        "first_name": "LEOPOLDO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "H6365",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "H6365",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "760580301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029716001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.