Individual provider Active NPI

Irais Leon, MD

  • Emergency Medicine Physician
  • Johnson City, NY
National Provider Identifier
1528059219
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2109421 Issued in NY
Practice address
33-57 Harrison St
United Medical Associates PC
Johnson City, NY 13790-2143
Phone
(607) 770-0025
Fax
(607) 729-3982
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD208521 OR
Emergency Medicine Physician 207P00000X 2109421 NY Primary

Addresses

Primary practice location

33-57 Harrison St
United Medical Associates PC
Johnson City, NY 13790-2143

Mailing address

346 Grand Ave
United Medical Associates PC
Johnson City, NY 13790-2558
Phone (607) 770-0025

Other practice location 1

3043 NE 28th St
Lincoln City, OR 97367-4518
Phone (541) 994-3661

Other identifiers 1

IdentifierTypeStateIssuer
01832035MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ileonagency237427@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, NY, MO, OR5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20060803000398 AZ Practitioner - Emergency Medicine 3274546544 Reassigns benefits to 1 organization
I20060929000287 CA Practitioner - Emergency Medicine 3274546544
I20070129000126 NY Practitioner - Internal MedicinePractitioner - Emergency Medicine 3274546544 Reassigns benefits to 1 organization
I20161111000886 MO Practitioner - Internal MedicinePractitioner - Emergency Medicine 3274546544 Reassigns benefits to 2 organizations
I20220420001928 OR Practitioner - Internal Medicine 3274546544 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
88.09
Promoting interoperability
100
Improvement activities
40
Cost
84.48

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
92.31
Promoting interoperability
100
Improvement activities
40
Cost
80.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2109421NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Aug 1, 2009 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Aug 1, 2009 Accepting new patients
Albany General Hospital CurrentSince Sep 9, 2023 Accepting new patients
Southeast Health Center of Stoddard County, LLC Current Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Jul 7, 2023 Accepting new patients
Emergency Medicine Services of Mo, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Southeast Health Center of Stoddard County LLC Emergency Medicine CurrentSince Jul 2, 2021 Accepting new patients
Southeast Health Center of Stoddard County, LLC CurrentSince Jul 2, 2021 Accepting new patients
Albany General Hosptial CurrentSince Sep 9, 2023 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Albany General Hospital Current Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine Past Accepting new patients
Hualapai Emergency Physician Partners PLLC Emergency Medicine Past Accepting new patients
Exigence Medical of Olean, PLLC Past Accepting new patients

Locations

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

6675 Holmes Rd
Kansas City, MO 64131
Phone (816) 276-7000

6601 Rockhill Rd
Kansas City, MO 64131
Phone (816) 276-7000

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

Interoperability endpoints

  • Direct secure messaging: ileonagency237427@samhealth.direct-ci.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1528059219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 GRAND AVE",
            "address_2": "UNITED MEDICAL ASSOCIATES PC",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902558",
            "telephone_number": "607-770-0025",
            "fax_number": "607-729-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-57 HARRISON ST",
            "address_2": "UNITED MEDICAL ASSOCIATES PC",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902143",
            "telephone_number": "607-770-0025",
            "fax_number": "607-729-3982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3043 NE 28th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973674518",
            "country_code": "US",
            "telephone_number": "541-994-3661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "IRAIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD208521",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "2109421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01832035",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ileonagency237427@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3043 NE 28th St",
            "city": "Lincoln City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973674518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.