Individual provider Active NPI

Leo K Edwards, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1750313441
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F1524 Issued in TX
Practice address
2011 E Houston St
Suite 104C
San Antonio, TX 78202-2916
Phone
(210) 225-5047
Fax
(210) 225-7951
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F1524 TX Primary

Addresses

Primary practice location

2011 E Houston St
Suite 104C
San Antonio, TX 78202-2916

Mailing address

2011 E Houston St
Suite 104C
San Antonio, TX 78202-2916
Phone (210) 225-5047

Other identifiers 1

IdentifierTypeStateIssuer
035375701MedicaidTX

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
I20051215000661 TX Practitioner - Internal Medicine 2163443375 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2011 E Houston St
Suite 104C
San Antonio, TX 78202-2912
Phone (210) 225-5047

2011 E Houston St
Suite 104C
San Antonio, TX 78202-2916

Hospital & facility affiliations

  • Accentcare Home Health of Texas Home health agency, San Antonio, TX, CCN 679174
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leo K. Edwards Jr Internal Medicine PastSince Jan 1, 1990 Accepting new patients
VHS San Antonio Partners LLC Past Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients

Organizations & group practices 3

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 5

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1750313441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 E HOUSTON ST",
            "address_2": "SUITE 104C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782022916",
            "telephone_number": "210-225-5047",
            "fax_number": "210-225-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 E HOUSTON ST",
            "address_2": "SUITE 104C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782022916",
            "telephone_number": "210-225-5047",
            "fax_number": "210-225-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LEO",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F1524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035375701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.