Individual provider Active NPI

Guillermo P Ponce de Leon, M.D.

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1609961697
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J4446 Issued in TX
Practice address
7777 Southwest Fwy
Suite 810
Houston, TX 77074-1802
Phone
(713) 772-1200
Fax
(713) 772-0258
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X J4446 TX Primary

Addresses

Primary practice location

7777 Southwest Fwy
Suite 810
Houston, TX 77074-1802

Mailing address

13811 Murphy Rd
Stafford, TX 77477-4903
Phone (713) 772-1200

Other practice location 1

16651 Southwest Fwy Ste 360
Sugar Land, TX 77479-2394
Phone (713) 772-1200

Other identifiers 5

IdentifierTypeStateIssuer
1376204-03MedicaidTX
20038447OtherTXMEDICARE RR
1001101217OtherTXAMERIGROUP
4722236OtherTXCIGNA
5908117OtherTXAETNA

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
I20110204000442 TX Practitioner - General Surgery 7618885997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at Houston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Surgical Associates LLPGroup PAC ID 3072553734, 19 clinicians

Practice addresses (Care Compare)

13811 Murphy Rd
Stafford, TX 77477-4903
Phone (713) 772-1200

Hospital & facility affiliations

  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820
  • Sugar Land Surgical Hospital LLP Hospital, Sugar Land, TX, CCN 450860
  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848
  • St Luke'S Sugar Land Hospital Hospital, Sugar Land, TX, CCN 670053
  • Altus Houston Hospital, LP Hospital, Houston, TX, CCN 670135

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
85
Promoting interoperability
98
Improvement activities
40
Cost
83.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion20
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)18
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J4446TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swsa VBC PLLC Surgery CurrentSince Jun 4, 2023 Accepting new patients
Southwest Surgical Associates LLP CurrentSince Jul 1, 1998 Accepting new patients

Locations

7777 Southwest Fwy
Ste 810
Houston, TX 77074

23920 Katy Fwy
Ste 410
Katy, TX 77494
Phone (832) 437-1410

13811 Murphy Rd
Stafford, TX 77477
Phone (713) 255-6300

17510 W Grand Pkwy S
Ste 490
Sugar Land, TX 77479

16651 Southwest Fwy
Ste 360
Sugar Land, TX 77479
Phone (281) 491-6200

Interoperability endpoints

  • Direct secure messaging: gponcedeleon26280@directhoustonmethodist.org
  • Direct secure messaging: guillermo.poncedeleon@sws.eclinicaldirectplus.com
  • Direct secure messaging: guillermo.ponce.de.leon.1@11939.direct.athenahealth.com
  • Direct secure messaging: guillermo.ponce.de.leon.2@13131.direct.athenahealth.com
  • Direct secure messaging: guillermo.ponce.de.leon.1@13131.direct.athenahealth.com

Organizations & group practices 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1609961697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13811 MURPHY RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774903",
            "telephone_number": "713-772-1200",
            "fax_number": "713-772-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY",
            "address_2": "SUITE 810",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741802",
            "telephone_number": "713-772-1200",
            "fax_number": "713-772-0258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16651 Southwest Fwy Ste 360",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774792394",
            "country_code": "US",
            "telephone_number": "713-772-1200",
            "fax_number": "281-491-0426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONCE DE LEON",
        "first_name": "GUILLERMO",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J4446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376204-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "20038447",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "1001101217",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4722236",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5908117",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.