Individual provider Active NPI

Leah Shama Brown, D.O.

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1568777555
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DOS-2429 Issued in HI
Practice address
903 W Martin St
San Antonio, TX 78207-0903
Phone
(210) 358-3144
Fax
(210) 358-5944
NPI assigned
Aug 13, 2010
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X DOS-2429 HI Primary
Family Medicine Physician 207Q00000X P7707 TX

Addresses

Primary practice location

903 W Martin St
San Antonio, TX 78207-0903

Mailing address

PO Box 87
San Antonio, TX 78291-0087
Phone (210) 358-9172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, HI2 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.
Opted out of Medicare
Yes, effective Jun 11, 2026 through Jun 11, 2028

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131021000573 TX Practitioner - Family Practice 5092940429 Reassigns benefits to 2 organizations
I20231013000956 HI Practitioner - Dermatology 5092940429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2094

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions133
Removal or shaving of skin growth1-10
Skin biopsy68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center CurrentSince Sep 29, 2023 Accepting new patients
Community Medicine Associates Family Medicine CurrentSince Oct 2, 2013 Accepting new patients
Oasis Dermatology Group, PLLC Dermatology CurrentSince Mar 1, 2019 Accepting new patients
Hilo Benioff Medical Center CurrentSince Sep 29, 2023 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Pain Management Specialists PastSince Feb 7, 2021 Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

1605 E Del Mar Blvd
Ste 108
Laredo, TX 78041
Phone (956) 794-8804

3100 Buddy Owens Ave
Ste 101
McAllen, TX 78504

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1568777555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782910087",
            "telephone_number": "210-358-9172",
            "fax_number": "210-358-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W MARTIN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782070903",
            "telephone_number": "210-358-3144",
            "fax_number": "210-358-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMA BROWN",
        "first_name": "LEAH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "HI",
            "license": "DOS-2429",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.