Jason Robert Deleon, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

310923 Issued in LA

Practice address

2525 Canal St
New Orleans, LA 70119-6407

Phone

(504) 962-7979

Fax

(504) 962-7177

NPI assigned

May 11, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Family Practice

Education

Tulane University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital City Medical Group, L.L.C.Group PAC ID 8628252392, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Capital City Medical Group, L.L.C.

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1144522855
  Medicare reassignment Care Compare group
• Superior Medicine Group LLC

  • Primary Care Clinic/Center
  • Marrero, LA
  • NPI 1922437441
  Medicare reassignment

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1497073787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196407",
            "telephone_number": "504-962-7979",
            "fax_number": "504-962-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196407",
            "telephone_number": "504-962-7979",
            "fax_number": "504-962-7177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Canal St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "70119",
            "country_code": "US",
            "telephone_number": "504-962-7979",
            "fax_number": "504-962-7177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELEON",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "310923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111876",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lturner@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office credentialing specialist",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "correspondence",
            "address_1": "2525 Canal St",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701196407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Delavallade, LMSW
• Ashley Anastasio Delcambre, OD
• Gordon Douglas Delcambre, D.D.S.
• Timothy J Delcambre, DDS
• John Armant Deleaumont Jr., RPH
• Joanne M Deleon, MD
• Serafin Y Deleon, MD
• Delerno Group LLC
• Charles Chaille Delerno, CERT HYPNOTHERAPIST
• Priscilla Delgado

• Family Medicine Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.

Verify at the official NPI Registry.