Individual provider Active NPI

Patricia Leal, RNC

  • Obstetrics & Gynecology Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1689671646
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
AP102364 Issued in TX
Practice address
10710 McPherson Rd Ste 304
Laredo, TX 78045-6271
Phone
(956) 489-5050
Fax
(956) 252-2029
NPI assigned
Jul 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP102364 TX Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 508312 TX

Addresses

Primary practice location

10710 McPherson Rd Ste 304
Laredo, TX 78045-6271

Mailing address

367 S Gulph Rd
King of Prussia, PA 19406-3121
Phone (956) 489-5050

Other practice location 1

1515 Pappas St
Laredo, TX 78041-1705
Phone (956) 795-8100 ext. 6259

Other identifiers 2

IdentifierTypeStateIssuer
508312OtherTXLICENSE
039546903MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071226000499 TX Practitioner - Nurse Practitioner 6901996263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laredo Physicians GroupGroup PAC ID 1355582461, 22 clinicians

Practice addresses (Care Compare)

10710 McPherson Rd
Suite 304
Laredo, TX 78045-6271
Phone (956) 489-5050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.29 of 100Reported as group
Quality
49.68
Improvement activities
0
Cost
79.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP102364TXMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Laredo Physicians Group CurrentSince May 1, 2021 Accepting new patients
City of Laredo Past Accepting new patients

Locations

367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422

6801 McPherson Rd
Laredo, TX 78041
Phone (956) 721-0200

10710 McPherson Rd
Ste 304
Laredo, TX 78045
Phone (956) 462-1991

2439 Monarch Dr
Unit 3
Laredo, TX 78045
Phone (956) 489-5050

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 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": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1689671646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "956-489-5050",
            "fax_number": "956-252-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MCPHERSON RD STE 304",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456271",
            "telephone_number": "956-489-5050",
            "fax_number": "956-252-2029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 PAPPAS ST",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780411705",
            "country_code": "US",
            "telephone_number": "956-795-8100 x6259",
            "fax_number": "956-523-3683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAL",
        "first_name": "PATRICIA",
        "credential": "RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-06",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "AP102364",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "508312",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "508312",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039546903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.