Individual provider Active NPI

Luis R. Leon, MD

  • Vascular Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1679670483
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35027 Issued in AZ
Practice address
3411 N 5TH Ave Ste 301
Phoenix, AZ 85013-3812
Phone
(602) 374-4101
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X AO69091 CA
Vascular Surgery Physician 2086S0129X 35027 AZ Primary

Addresses

Primary practice location

3411 N 5TH Ave Ste 301
Phoenix, AZ 85013-3812

Mailing address

9192 W Union Hills Dr
Peoria, AZ 85382-8208
Phone (602) 374-4101

Other practice location 1

9192 W Union Hills Dr
Peoria, AZ 85382-8208
Phone (602) 374-4101

Other practice location 2

2204 S Dobson Rd Ste 201
Mesa, AZ 85202-6457
Phone (602) 441-0522

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
I20090317000317 AZ Practitioner - Vascular Surgery 1658438775 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3709 N Campbell Ave
Suite 201
Tucson, AZ 85719-1563

9192 W Union Hills Dr
Peoria, AZ 85382-8208

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.17 of 100Reported as group
Quality
83.77
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal52
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35027AZMDVascular Surgery Physician
AO69091CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Interventional Care Centers, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Tucson Medical Center CurrentSince Sep 2, 2019 Accepting new patients
Comprehensive Interventional Care Centers, PLLC Vascular Surgery CurrentSince Jan 1, 2021 Accepting new patients
Sonoran Vein and Endovascular LLC Vascular Surgery CurrentSince Jan 13, 2025 Accepting new patients
Tucson Medical Center CurrentSince Sep 2, 2019 Accepting new patients
Sonoran Vein and Endovascular LLC CurrentSince Jan 13, 2025 Accepting new patients
Tucson Physician Group Holdings, LLC Past Accepting new patients
Pima Heart Physicians, PC Vascular Surgery Past Accepting new patients

Locations

421 E Cottonwood Ln
Casa Grande, AZ 85122

2301 N 4th St
Flagstaff, AZ 86004
Phone (928) 719-7400

838 W Elliot Rd
#101
Gilbert, AZ 85233

120 W Calle de las Tiendas
Green Valley, AZ 85614
Phone (520) 570-7884

2204 S Dobson Rd
Ste 201
Mesa, AZ 85202
Phone (602) 374-4410

9192 W Union Hills Dr
Ste 100
Peoria, AZ 85382

9192 W Union Hills Dr
Peoria, AZ 85382

333 W Thomas Rd
Ste 208B
Phoenix, AZ 85013

333 W Thomas Rd
Ste 208
Phoenix, AZ 85013

333 W Thomas Rd
Phoenix, AZ 85013
Phone (602) 253-4120

3411 N 5th Ave
Ste 301
Phoenix, AZ 85013
Phone (602) 200-8990

126 S Coronado Dr
Sierra Vista, AZ 85635

6301 S McClintock Dr
Ste 115
Tempe, AZ 85283
Phone (480) 775-8460

1815 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 628-1400

2055 W Hospital Dr
Ste 145
Tucson, AZ 85704
Phone (520) 469-8147

6565 E Carondelet Dr
Ste 335
Tucson, AZ 85710
Phone (520) 721-2728

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

2145 W 28th St
Ste B
Yuma, AZ 85364
Phone (928) 328-8338

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1679670483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9192 W UNION HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828208",
            "telephone_number": "602-374-4101",
            "fax_number": "024-410-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 N 5TH AVE STE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133812",
            "telephone_number": "602-374-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9192 W Union Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853828208",
            "country_code": "US",
            "telephone_number": "602-374-4101",
            "fax_number": "602-441-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 S Dobson Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852026457",
            "country_code": "US",
            "telephone_number": "602-441-0522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "LUIS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "AO69091",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "35027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.