Individual provider Active NPI

Dillon Kelby Lesak, DO

  • Pediatrics Physician
  • Victoria, TX
National Provider Identifier
1598326001
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
T-7283 Issued in TX
Practice address
9410 NE Zac Lentz Pkwy Ste 202
Victoria, TX 77904-3172
Phone
(361) 579-1333
Fax
(361) 579-1334
NPI assigned
Jun 25, 2019
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X T-7283 TX Primary

Addresses

Primary practice location

9410 NE Zac Lentz Pkwy Ste 202
Victoria, TX 77904-3172

Mailing address

9410 NE Zac Lentz Pkwy Ste 202
Victoria, TX 77904-3172
Phone (361) 579-1333

Other practice location 1

3533 S Alameda St
Corpus Christi, TX 78411-1721
Phone (361) 694-5465

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
I20220912000087 TX Practitioner - Pediatric MedicinePractitioner - Hospitalist 2062897135 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-7283TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Pediatric Care, PA Pediatrics CurrentSince Nov 7, 2025 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

9410 NE Zac Lentz Pkwy
Ste 202
Victoria, TX 77904
Phone (361) 579-1333

Organizations & group practices 3

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1598326001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 NE ZAC LENTZ PKWY STE 202",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043172",
            "telephone_number": "361-579-1333",
            "fax_number": "361-579-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 NE ZAC LENTZ PKWY STE 202",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043172",
            "telephone_number": "361-579-1333",
            "fax_number": "361-579-1334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3533 S Alameda St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784111721",
            "country_code": "US",
            "telephone_number": "361-694-5465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESAK",
        "first_name": "DILLON",
        "middle_name": "KELBY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T-7283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.