NPIMap

Individual provider Active NPI

William A. Leeson, M.D.

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1588620447
Registry record updated Mar 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2005-0499 Issued in NM
Practice address
454 St Michaels Dr
Santa Fe, NM 87505-7602
Phone
(505) 303-5000
NPI assigned
Apr 20, 2006
Last updated
Mar 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2005-0499 NM Primary

Addresses

Primary practice location

454 St Michaels Dr
Santa Fe, NM 87505-7602

Mailing address

PO Box 26666
Provider Enrollment
Albuqeurque, NM 87125-6666
Phone (505) 923-6770

Other identifiers 2

IdentifierTypeStateIssuer
37107704MedicaidNM
10024429OtherNMLOVELACE HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110001074 NM Practitioner - Family Practice 3577589621 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

454 Saint Michaels Dr
Santa Fe, NM 87505-7602
Phone (505) 473-0390

5501 Herrera Dr
B
Santa Fe, NM 87507-2684
Phone (505) 913-4180

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2005-0499NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Mar 1, 2022 Accepting new patients
William a. Leeson, MD, PC Current Accepting new patients
St. Vincent Hospital Family Medicine CurrentSince Jun 6, 2023 Accepting new patients
Newmexidoc, PA. CurrentSince Apr 1, 2019 Accepting new patients
St Vincent Hospital CurrentSince Jun 6, 2023 Accepting new patients
St Vincent Hospital Current Accepting new patients

Locations

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1630 Hospital Dr
Ste D
Santa Fe, NM 87505
Phone (505) 982-3534

454 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 303-5000

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

5501 Herrera Dr
#B
Santa Fe, NM 87507
Phone (505) 913-4180

831 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 501-7791

Interoperability endpoints

  • Direct secure messaging: wleeson149907@direct.phs.org
  • Direct secure messaging: wleeson165392@christushealth.direct-ci.net

Organizations & group practices 8

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 2

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647648000000",
    "number": "1588620447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ALBUQEURQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-6770",
            "fax_number": "505-923-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 ST MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057602",
            "telephone_number": "505-303-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEESON",
        "first_name": "WILLIAM",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2005-0499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37107704",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE HEALTH PLAN",
            "identifier": "10024429",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.