Leonidas S Andres, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F3714 Issued in TX

Practice address

538 Broadway
Winnie, TX 77665-7600

Phone

(409) 296-6000

Fax

(409) 396-6372

NPI assigned

Jul 8, 2005

Reactivated

Mar 29, 2006

Last updated

Jul 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

General SurgeryAlso: General Practice

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winnie Community Hospital LLCGroup PAC ID 3375440894, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riceland Medical Center Hospital, Winnie, TX, CCN 451328

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chambers County Public Hospital District No 1

  dba Bayside Community Hospital and Clinic

  • Family Medicine Physician
  • Anahuac, TX
  • NPI 1861542235
  Medicare reassignment NPD
• Ess of South Texas LLC

  • Emergency Medicine Physician
  • Liberty, TX
  • NPI 1295128247
  Medicare reassignment NPD
• Winnie Community Hospital, L.L.C.

  dba Winnie Community Clinic

  • Emergency Medicine Physician
  • Winnie, TX
  • NPI 1548395213
  Care Compare group NPD
• Chambers County Public Hospital District No 1

  dba Bayside Clinic

  • Federally Qualified Health Center (FQHC)
  • Anahuac, TX
  • NPI 1417032343
  NPD
• Chambers County Public Hospital District No. 1

  dba Emory Health and Rehab

  • Skilled Nursing Facility
  • Emory, TX
  • NPI 1770819377
  NPD
• Thompson Outpatient Clinic, LLC

  • Family Medicine Physician
  • Winnie, TX
  • NPI 1407961048
  NPD
• Winnie Community Hospital LLC

  dba Riceland Pain Clinic

  • Interventional Pain Medicine Physician
  • Nederland, TX
  • NPI 1316623481
  NPD
• Winnie Community Hospital, L.L.C.

  dba Riceland Clinic

  • Primary Care Nurse Practitioner
  • Vidor, TX
  • NPI 1376937003
  NPD
• Winnie Community Hospital, LLC

  dba Winnie Community Clinic

  • Rural Health Clinic/Center
  • Winnie, TX
  • NPI 1891820569
  NPD (past)

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

• Winnie Community Hospital, LLC

  • Critical Access Hospital
  • Winnie, TX
  • NPI 1295781227
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1699773226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 BROADWAY",
            "city": "WINNIE",
            "state": "TX",
            "postal_code": "776657600",
            "telephone_number": "409-296-6000",
            "fax_number": "409-396-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 BROADWAY",
            "city": "WINNIE",
            "state": "TX",
            "postal_code": "776657600",
            "telephone_number": "409-296-6000",
            "fax_number": "409-396-6372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 S Archie St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Vidor",
            "state": "TX",
            "postal_code": "776624868",
            "country_code": "US",
            "telephone_number": "409-769-2295",
            "fax_number": "409-769-3373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Ih 10 N Ste 112",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777072560",
            "country_code": "US",
            "telephone_number": "409-239-5139",
            "fax_number": "409-347-8856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20925 Ih 10",
            "address_purpose": "LOCATION",
            "city": "Vidor",
            "state": "TX",
            "postal_code": "776622557",
            "country_code": "US",
            "telephone_number": "409-769-2295",
            "fax_number": "409-769-3373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRES",
        "first_name": "LEONIDAS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "deactivation_date": "2006-03-29",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "F3714",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F3714",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "F3714",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139871124",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "80A578",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon L. Atwell, APN, FNP-BC
• Hilari Beth Berklund, PA-C
• Kaci Blackshear
• Rebecca Louise Blackwell, PA
• Boutte Family Practice, PLLC

• Family Medicine Physician in Winnie, TX
• Providers in Winnie, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.