Individual provider Active NPI

Zelko Leon, MD

  • Psychiatry Physician
  • Sedona, AZ
National Provider Identifier
1720005499
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
57187 Issued in AZ
Practice address
2855 W Sr 89a Ste 2
Sedona, AZ 86336-5100
Phone
(928) 282-9187
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 57187 AZ Primary

Addresses

Primary practice location

2855 W Sr 89a Ste 2
Sedona, AZ 86336-5100

Mailing address

2855 W Sr 89a Ste 2
Sedona, AZ 86336-5100
Phone (928) 202-9187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57187AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tribe Wellness TMS PLLC Psychiatry CurrentSince Jan 21, 2022 Accepting new patients

Locations

2855 W State Route 89A
Ste 2
Sedona, AZ 86336
Phone (833) 867-2329

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1720005499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 W SR 89A STE 2",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365100",
            "telephone_number": "928-202-9187",
            "fax_number": "928-202-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 W SR 89A STE 2",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365100",
            "telephone_number": "928-282-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "ZELKO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "57187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

Verify at the official NPI Registry.