Individual provider Active NPI

Dexter G De Leon, M.D.

  • Interventional Cardiology Physician
  • Tucson, AZ
National Provider Identifier
1598965907
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
52334 Issued in AZ
Practice address
6320 N la Cholla Blvd Ste 300
Tucson, AZ 85741-3552
Phone
(520) 545-0953
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0116018141 VA
Interventional Cardiology Physician 207RI0011X 52334 AZ Primary

Addresses

Primary practice location

6320 N la Cholla Blvd Ste 300
Tucson, AZ 85741-3552

Mailing address

6320 N la Cholla Blvd Ste 300
Tucson, AZ 85741-3552
Phone (520) 545-0953

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dexter.deleon@nwhc.cernerdirect.com
Direct Messaging Address dexter.deleon.1@1576.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160802000519 AZ Practitioner - Interventional Cardiology 7719038744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting36
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116018141VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Jan 27, 2025 Accepting new patients
Northwest Allied Physicians LLC Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Jan 1, 2020 Accepting new patients
Banner-University Medical Group Internal Medicine Current Accepting new patients
Banner-University Medical Group CurrentSince Jan 27, 2025 Accepting new patients
Alleghany Hospitalists LLC Internal Medicine Past Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

16260 S Rancho Sahuarita Blvd
Ste 220
Sahuarita, AZ 85629
Phone (520) 352-1004

10120 E Old Vail Rd
Ste 150
Tucson, AZ 85747
Phone (520) 545-0953

1625 N Campbell Ave
Tucson, AZ 85719

6320 N La Cholla Blvd
Ste 300
Tucson, AZ 85741
Phone (520) 545-0953

6261 N La Cholla Blvd
Ste 131
Tucson, AZ 85741
Phone (301) 984-1979

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

3838 N Campbell Ave
#2
Tucson, AZ 85719

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

6080 N La Cholla Blvd
Ste 200
Tucson, AZ 85741

6261 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 297-1490

3838 N Campbell Ave
Tucson, AZ 85719
Phone (520) 694-2873

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

6261 N La Cholla Blvd
Ste 277
Tucson, AZ 85741
Phone (520) 694-6800

Interoperability endpoints

  • Direct secure messaging: dexter.deleon.1@1576.direct.athenahealth.com
  • Direct secure messaging: dexter.deleon@nwhc.cernerdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1598965907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 N LA CHOLLA BLVD STE 300",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413552",
            "telephone_number": "520-545-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 N LA CHOLLA BLVD STE 300",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413552",
            "telephone_number": "520-545-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "DEXTER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116018141",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "52334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dexter.deleon@nwhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "6320 N La Cholla Blvd Ste 300",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857413552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dexter.deleon.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "6320 N La Cholla Blvd Ste 300",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857413552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.