Demetrios G Leiloglou, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L2984 Issued in TX

Practice address

20818 Gathering Oak
Suite 109
San Antonio, TX 78260-3104

Phone

(210) 762-6464

Fax

(210) 762-6465

NPI assigned

Jun 19, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Wonder Kids Pediatrics, PLLC

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1215345202
  NPD (past) Authorized official

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1508801879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18815 MILLHOLLOW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584258",
            "telephone_number": "210-392-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20818 GATHERING OAK",
            "address_2": "SUITE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782603104",
            "telephone_number": "210-762-6464",
            "fax_number": "210-762-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEILOGLOU",
        "first_name": "DEMETRIOS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L2984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Rodrigo Leija Jr.
• Marcos Leija
• Miranda Elyce Leija, PA-C
• Sarah Leija
• Leila'S Therapeutic Touch Therapy
• Rachel Leinenbach
• Bryan Lee Leingang Sr.
• James Richard Leininger, M.D.
• Jazmin Rochelle Leinneweber, M.S., CCC-SLP
• Brooke Leith, LPC-ASSOCIATE

• Pediatrics Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.