Individual provider Active NPI

Raimundo F. Leon, M.D.

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1508905134
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9582 Issued in NV
Practice address
2650 Crimson Canyon Dr
Las Vegas, NV 89128-0841
Phone
(702) 731-2642
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9582 NV Primary

Addresses

Primary practice location

2650 Crimson Canyon Dr
Las Vegas, NV 89128-0841

Mailing address

2650 Crimson Canyon Dr
Las Vegas, NV 89128-0841
Phone (702) 731-2642

Other identifiers 1

IdentifierTypeStateIssuer
2018653MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20060206000267 NV Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 2163436577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kraft Center for Pain Control, LLCGroup PAC ID 3173501186, 2 clinicians

Practice addresses (Care Compare)

2650 Crimson Canyon Dr
Las Vegas, NV 89128-0841
Phone (702) 731-2642

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Specialists of Albuquerque Past Accepting new patients
Sunrise Hospital and Medical Center, LLC PastSince Jun 12, 2015 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1508905134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 CRIMSON CANYON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280841",
            "telephone_number": "702-731-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 CRIMSON CANYON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280841",
            "telephone_number": "702-731-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "RAIMUNDO",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "9582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018653",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.