Individual provider Active NPI

Dezarae Leto, DO

  • Surgery Physician
  • Ada, OK
National Provider Identifier
1538689047
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
30095 Issued in MS
Practice address
1921 Stonecipher Dr
Ada, OK 74820-3439
Phone
(580) 436-3980
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 30095 MS Primary

Addresses

Primary practice location

1921 Stonecipher Dr
Ada, OK 74820-3439

Mailing address

PO Box 40908
Fayetteville, NC 28309-0908

Other practice location 1

300A E McKay St
Elizabethtown, NC 28337-9037
Phone (910) 862-1272

Other practice location 2

225 Brightwater Dr Ste 220
Lillington, NC 27546-5156
Phone (910) 892-1550

Other practice location 3

803 Tilghman Dr Ste 200
Dunn, NC 28334-6699
Phone (910) 892-1550

Other practice location 4

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-1826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230623000304 TX Practitioner - General Surgery 6507139508 Reassigns benefits to 1 organization
I20251125001938 NC Practitioner - General Surgery 6507139508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

803 Tilghman Dr
Suite 200
Dunn, NC 28334-6699
Phone (910) 892-1550

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8019OKMDGeneral Practice Dentistry
30095MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Nov 4, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC Surgery CurrentSince Nov 4, 2025 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Mar 23, 2024 Accepting new patients

Locations

802 Tilghman Dr
Dunn, NC 28334
Phone (910) 766-7711

803 Tilghman Dr
Ste 200
Dunn, NC 28334
Phone (910) 892-1091

300A E McKay St
Elizabethtown, NC 28337
Phone (910) 862-5500

1638 Owen Dr
#138
Fayetteville, NC 28304
Phone (910) 615-4530

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

225 Brightwater Dr
Ste 220
Lillington, NC 27546
Phone (910) 304-1247

1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570

2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181

1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700

817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392

Interoperability endpoints

  • Direct secure messaging: dleto33716@capefearvalley.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1538689047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40908",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283090908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 STONECIPHER DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203439",
            "telephone_number": "580-436-3980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300A E McKay St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379037",
            "country_code": "US",
            "telephone_number": "910-862-1272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Brightwater Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275465156",
            "country_code": "US",
            "telephone_number": "910-892-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803 Tilghman Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283346699",
            "country_code": "US",
            "telephone_number": "910-892-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-1826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETO",
        "first_name": "DEZARAE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "30095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.