Individual provider Active NPI

Leon A Driss, MD

  • Internal Medicine Physician
  • Show Low, AZ
National Provider Identifier
1669445706
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12761 Issued in AZ
Practice address
5300 S Sutter Dr Ste 12
Show Low, AZ 85901-8055
Phone
(928) 251-2541
Fax
(833) 450-5183
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

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 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine, Hospice/Palliative Care
Education
Medical College of Wisconsin, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospitalist Medicine Healthcare LLC 13 clinicians
Leon a Driss PC 2 clinicians

Practice addresses (Care Compare)

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (302) 354-5471

300 W White Mountain Blvd
Suite a
Lakeside, AZ 85929-7014
Phone (928) 367-1077

5300 S Sutter Dr
Suite 12
Show Low, AZ 85901-8055
Phone (928) 251-2541

Hospital & facility affiliations

  • Summit Healthcare Home Health Home health agency, Show Low, AZ, CCN 037027
  • Home Health Safford, LLC Home health agency, Safford, AZ, CCN 037815
  • Savior Hospice Hospice, Phoenix, AZ, CCN 031651
  • Summit Healthcare Regional Medical Center Hospital, Show Low, AZ, CCN 030062

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051103000015 AZ Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 4385531516 Reassigns benefits to 3 organizations

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Savior HospicePhoenix, AZ, CCN 031651 Hospice Contracted Managing Employee Apr 10, 2026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Healthcare LLC Hospitalist CurrentSince Apr 1, 2014 Accepting new patients
Premier Mountain Healthcare LLC CurrentSince Jun 1, 2021 Accepting new patients
Premier Mountain Healthcare LLC Current Accepting new patients
Leon a Driss PC Internal Medicine CurrentSince Aug 1, 2000 Accepting new patients
Summit Healthcare Association Past Accepting new patients
Pinetop Primary Palliative Care PLLC PastSince Apr 25, 2021 Accepting new patients

Locations

5448 Highway 260
Ste 270
Lakeside, AZ 85929
Phone (928) 537-1077

300 W White Mountain Blvd
Ste A
Lakeside, AZ 85929
Phone (520) 367-2508

5300 S Sutter Dr
Ste 12
Show Low, AZ 85901
Phone (928) 251-2541

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

5171 S Cub Lake Rd
Ste C380
Show Low, AZ 85901
Phone (928) 537-1077

5300 S Sutter Dr
Unit A
Show Low, AZ 85901
Phone (928) 251-4244

Interoperability endpoints

  • Direct secure messaging: leon.driss.1@30830.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24099/brand/1/csg/1/fhir/r4

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 12761 AZ
Internal Medicine Physician 207R00000X 12761 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

5300 S Sutter Dr Ste 12
Show Low, AZ 85901-8055

Mailing address

5300 S Sutter Dr Ste 12
Show Low, AZ 85901-8055
Phone (928) 251-2541

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
542416MedicaidAZ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2024.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1669445706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 S SUTTER DR STE 12",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859018055",
            "telephone_number": "928-251-2541",
            "fax_number": "833-450-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S SUTTER DR STE 12",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859018055",
            "telephone_number": "928-251-2541",
            "fax_number": "833-450-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISS",
        "first_name": "LEON",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "12761",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "12761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "542416",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.