Individual provider Active NPI

Leslee Ione Ball-Scovel, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1790759371
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M6035 Issued in TX
Practice address
415 Embassy Oaks
Ste 200
San Antonio, TX 78216-2040
Phone
(210) 490-9087
Fax
(210) 490-9111
NPI assigned
Feb 13, 2006
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 119491 MO
Internal Medicine Physician 207R00000X M6035 TX Primary

Addresses

Primary practice location

415 Embassy Oaks
Ste 200
San Antonio, TX 78216-2040

Mailing address

The Villages VA Outpatient Clinic
8900 SE 165TH Mulberry LN
The Villages, FL 32162-2040
Phone (352) 674-5000

Other identifiers 1

IdentifierTypeStateIssuer
TXB126928OtherWELLMED MEDICAL GROUP PA

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
I20160817001022 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7315025210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
119491MOMDInternal Medicine Physician
M6035TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Internal Medicine Past Accepting new patients
HMG Medical Group, P.a. Past Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1790759371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE VILLAGES VA OUTPATIENT CLINIC",
            "address_2": "8900 SE 165TH MULBERRY LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622040",
            "telephone_number": "352-674-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 EMBASSY OAKS",
            "address_2": "STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162040",
            "telephone_number": "210-490-9087",
            "fax_number": "210-490-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL-SCOVEL",
        "first_name": "LESLEE",
        "middle_name": "IONE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "119491",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M6035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAL GROUP PA",
            "identifier": "TXB126928",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.