Individual provider Active NPI

Nidia P Leon, MD

  • Pulmonary Disease Physician
  • San Antonio, TX
National Provider Identifier
1720029234
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
N7940 Issued in TX
Practice address
111 Dallas St
San Antonio, TX 78205-1201
Phone
(210) 927-1832
Fax
(210) 927-3426
NPI assigned
Jun 8, 2006
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 10012 NV
Pulmonary Disease Physician 207RP1001X N7940 TX Primary

Addresses

Primary practice location

111 Dallas St
San Antonio, TX 78205-1201

Mailing address

20403 Encino Ledge Unit 592716
San Antonio, TX 78259-0873
Phone (210) 927-1832

Other practice location 1

6211 S New Braunfels Ave
San Antonio, TX 78223-3175
Phone (210) 531-0569

Other practice location 2

8811 Village Dr
San Antonio, TX 78217-5415
Phone (210) 297-2000

Other practice location 3

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2200

Other identifiers 2

IdentifierTypeStateIssuer
00202087MedicaidNV
322397601MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130718000600 TX Practitioner - Pulmonary Disease 2668480278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Antonio Lung Center, PLLCGroup PAC ID 0547401465, 2 clinicians

Practice addresses (Care Compare)

111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 927-1832

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Lung Center, PLLC Pulmonary Disease CurrentSince Mar 13, 2013 Accepting new patients
Pulmonary Associates, Inc. Pulmonary Disease PastSince Nov 17, 2019 Accepting new patients

Locations

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1303 McCullough Ave
Ste 428
San Antonio, TX 78212
Phone (210) 225-2229

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

20403 Encino Ledge
Unit 592716
San Antonio, TX 78259

6100 Bandera Rd
Ste 215
San Antonio, TX 78238

6211 S New Braunfels Ave
San Antonio, TX 78223
Phone (210) 531-0452

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCIBCA

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

Hospital & facility affiliations 4

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1720029234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20403 ENCINO LEDGE UNIT 592716",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590873",
            "telephone_number": "210-927-1832",
            "fax_number": "210-927-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DALLAS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051201",
            "telephone_number": "210-927-1832",
            "fax_number": "210-927-3426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6211 S New Braunfels Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782233175",
            "country_code": "US",
            "telephone_number": "210-531-0569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8811 Village Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782175415",
            "country_code": "US",
            "telephone_number": "210-297-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 McCullough Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782125601",
            "country_code": "US",
            "telephone_number": "210-757-2200",
            "fax_number": "210-757-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "NIDIA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NV",
            "license": "10012",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "N7940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00202087",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322397601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.