Individual provider Active NPI

Miltiadis Leon, MD

  • Interventional Cardiology Physician
  • San Angelo, TX
National Provider Identifier
1558328690
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
K0890 Issued in TX
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
144285706MedicaidTX
8B2168OtherTXBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000624 TX Practitioner - Cardiovascular Disease (Cardiology) 7113900150 Reassigns benefits to 5 organizations

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 CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians
Cardiology Associates of West TexasGroup PAC ID 2769487404, 2 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
91.51 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
62.94

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as group
Quality
94.99
Improvement activities
40
Cost
72.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Varicose vein removal81
Leg revascularization (restoring blood flow)33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0890TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Cardiovascular Disease CurrentSince Nov 1, 2025 Accepting new patients
Hub City Surgery Center, LLC CurrentSince Jul 5, 2024 Accepting new patients
Kidney Disease Associates CurrentSince Jun 14, 2024 Accepting new patients
San Angelo Cardiovascular Center of Excellence, PLLC Interventional Cardiology CurrentSince Oct 1, 2019 Accepting new patients
Cardiology Associates of West Texas Interventional Cardiology CurrentSince Jul 17, 2006 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Nov 1, 2025 Accepting new patients
Cardiac Imaging Inc CurrentSince Oct 5, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.