Active NPI
Miltiadis Leon, MD
- Interventional Cardiology Physician
- San Angelo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- K0890
- Practice address
- 3180 Executive Drive, Suite 102
San Angelo, TX 76904-7610 - Phone
- (325) 944-1240
- NPI assigned
- May 1, 2006
- Last updated
- Dec 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | K0890 | TX | |
| Interventional Cardiology Physician | 207RI0011X | K0890 | TX | Primary |
Addresses
Primary practice location
3180 Executive Drive, Suite 102
San Angelo, TX 76904-7610
Mailing address
3180 Executive Drive, Suite 102
San Angelo, TX 76904-7610
Phone (325) 944-1240
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144285706 | Medicaid | TX | |
| 8B2168 | Other | TX | BLUE CROSS/BLUE SHIELD TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The West Texas Rehabilitation Center
Practice addresses (Care Compare)
3001 S Jackson St
San Angelo, TX 76904-5129
Phone (325) 793-3411
3180 Executive Dr
Suite 102
San Angelo, TX 76904-6837
Phone (325) 944-1240
4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411
Hospital & facility affiliations
- Christus Santa Rosa Medical Center
- Shannon Medical Center
- North Runnels Hospital
- Ballinger Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.51 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 62.94
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.66 of 100
- Quality
- 94.99
- Improvement activities
- 40
- Cost
- 72.2
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 14 |
| Varicose vein removal | 81 |
| Leg revascularization (restoring blood flow) | 33 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K0890 | TX | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Cardiovascular Disease | Current | Accepting new patients |
| Hub City Surgery Center, LLC | Current | Accepting new patients | |
| Kidney Disease Associates | Current | Accepting new patients | |
| San Angelo Cardiovascular Center of Excellence, PLLC | Interventional Cardiology | Current | Accepting new patients |
| Cardiology Associates of West Texas | Interventional Cardiology | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Cardiac Imaging Inc | Current | Accepting new patients | |
| A & D Medical Center, LLC | Past | Accepting new patients | |
| Ector County Hospital District | Past | Accepting new patients | |
| Ector County Hospital District | Past | Accepting new patients | |
| Odessa Heart Institute | Past | Accepting new patients |
Locations
2232 Indiana Ave
Ste 1
Lubbock, TX 79410
Phone (806) 395-4705
5424 19th St
Ste 403
Lubbock, TX 79407
Phone (806) 368-6391
3180 Executive Dr
Ste 102
San Angelo, TX 76904
Phone (325) 944-1240
3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361
3555 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 224-5411
3605 Executive Dr
San Angelo, TX 76904
Phone (325) 949-9555
1908 N Laurent St
Ste 200
Victoria, TX 77901
1908 N Laurent St
Ste 330
Victoria, TX 77901
Phone 36157203332244
Interoperability endpoints
- miltiadis.leon.p159@direct.lifelinevascular.nextgenshare.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Interventional Cardiology Physician
- San Angelo, TX
- NPI 1386653632
-
- Interventional Cardiology Physician
- San Angelo, TX
- NPI 1134788508
-
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1114789211
-
- Nephrology Physician
- Lubbock, TX
- NPI 1134115124
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
-
- Mobile Radiology Clinic/Center
- Oakbrook Terrace, IL
- NPI 1770830606
-
dba Family Medical Center of Monahans
- Rural Health Clinic/Center
- Monahans, TX
- NPI 1295793214
-
dba MCH Urgent Care
- Urgent Care Clinic/Center
- Odessa, TX
- NPI 1366680555
-
dba MCH Family Health Clinic
- Federally Qualified Health Center (FQHC)
- Odessa, TX
- NPI 1578265302
-
- Specialist
- Odessa, TX
- NPI 1821131855
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ballinger EMS
- Land Ambulance
- Ballinger, TX
- NPI 1215991039
Hospital
-
dba Ballinger Memorial Hospital
- Critical Access Hospital
- Ballinger, TX
- NPI 1225038938
-
dba CHRISTUS Santa Rosa Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1194787218
-
- General Acute Care Hospital
- San Angelo, TX
- NPI 1992707228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1558328690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 EXECUTIVE DRIVE, SUITE 102",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769047610",
"telephone_number": "325-944-1240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 EXECUTIVE DRIVE, SUITE 102",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769047610",
"telephone_number": "325-944-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "MILTIADIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "K0890",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "K0890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144285706",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD TX",
"identifier": "8B2168",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.