NPIMap

Individual provider Active NPI

Alan E. Leifeste II, M.D.

  • Family Medicine Physician
  • Kingsland, TX
National Provider Identifier
1700988714
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M7091 Issued in TX
Practice address
525 RR 2900
Kingsland, TX 78639-6000
Phone
(512) 715-3106
Fax
(325) 388-6935
NPI assigned
Sep 1, 2006
Last updated
Jan 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M7091 TX Primary

Addresses

Primary practice location

525 RR 2900
Kingsland, TX 78639-6000

Mailing address

PO Box 1219
Burnet, TX 78611-7219
Phone (512) 715-3106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050817000970 TX Practitioner - Family Practice 0244260370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension SetonGroup PAC ID 5193634293, 54 clinicians

Practice addresses (Care Compare)

1205 Central Texas Expy
Lampasas, TX 76550-3388
Phone (512) 556-5362

200 John W Hoover Pkwy
Burnet, TX 78611-4560

200 John W Hoover Pkwy
BLDG 1
Burnet, TX 78611-4561
Phone (512) 715-3046

3201 S Water St
Burnet, TX 78611-4510
Phone (512) 715-3360

525 Ranch Rd
Suite 2900
Kingsland, TX 78639-6000
Phone (325) 388-6912

PO Box
Suite 1219
Burnet, TX 78611

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Seton Family Medicine CurrentSince Mar 1, 2015 Accepting new patients
Ascension Seton Family Medicine Current Accepting new patients
Ascension Seton CurrentSince Mar 1, 2015 Accepting new patients
Preventive Medicine of Southeast Texas, LLP Family Medicine Past Accepting new patients
McCulloch County Hospital District Past Accepting new patients
Ascension Seton Past Accepting new patients
Fannin County Hospital Authority Past Accepting new patients
Oakbend Medical Center Past Accepting new patients

Locations

525 Ranch Road 2900
Kingsland, TX 78639
Phone (512) 715-3032

1205 Central Texas Expy
Lampasas, TX 76550
Phone (512) 556-5362

Interoperability endpoints

  • Direct secure messaging: alan.leifeste.1@8363.direct.athenahealth.com
  • Direct secure messaging: alan.leifeste.2@8363.direct.athenahealth.com
  • Direct secure messaging: alan.leifeste.3@8363.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Altus HospiceGeorgetown, TX, CCN 671714 Hospice Contracted Managing Employee Nov 1, 2024

Owned or controlled facilities with NPI records 1

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1700988714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1219",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786117219",
            "telephone_number": "512-715-3106",
            "fax_number": "325-388-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 RR 2900",
            "city": "KINGSLAND",
            "state": "TX",
            "postal_code": "786396000",
            "telephone_number": "512-715-3106",
            "fax_number": "325-388-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIFESTE",
        "first_name": "ALAN",
        "middle_name": "E.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M7091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, TX

Sources for this page

Verify at the official NPI Registry.