Irma May Avila Fernandez de Leon, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18151 Issued in AL

Practice address

333 Whitesport Dr SW
Suite 203
Huntsville, AL 35801-6454

Phone

(256) 213-7425

Fax

(256) 213-9950

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Irma F. de Leon Other name

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• BHC - Edwin Moyo MD

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1497719652
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185580800000",
    "number": "1497965206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WHITESPORT DR SW",
            "address_2": "SUITE 203",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016454",
            "telephone_number": "256-213-7425",
            "fax_number": "256-213-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WHITESPORT DR SW",
            "address_2": "SUITE 203",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016454",
            "telephone_number": "256-213-7425",
            "fax_number": "256-213-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ DE LEON",
        "first_name": "IRMA MAY",
        "middle_name": "AVILA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "18151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "18151",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRMA",
            "last_name": "F. DE LEON",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathleen Jo Felker, M.D.
• Richard Keith Fell, NURSE PRACTITIONER
• Angela Saint Fennell, DMD
• Courtney Fennell, D.O.
• Bonnie Jo Ferguson, PHARMD
• Dino Ferrante, MD
• Lucille A Ferrante, M.D.
• James Ashley Ferrell, O.D.
• Alexandra U Fetter Zarzeka, MD
• Amy Marie Feugate, FNP

• All providers in Huntsville, AL
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.