Individual provider Active NPI

Leslie Denise Powell, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1891825832
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N1838 Issued in TX
Practice address
2833 Babcock Rd
San Antonio, TX 78229-5390
Phone
(210) 705-5100
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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 N1838 TX Primary

Addresses

Primary practice location

2833 Babcock Rd
San Antonio, TX 78229-5390

Mailing address

919 Hidden RDG
Irving, TX 75038-3813
Phone (469) 282-2711

Other practice location 1

5875 N Major Dr
Beaumont, TX 77713-9034
Phone (409) 892-2262

Other identifiers 3

IdentifierTypeStateIssuer
1K2003OtherTXMEDICARE
210799702MedicaidTX
P02601530OtherTXMCRR

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
I20090827000105 TX Practitioner - Family Practice 5294880217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

2246 Nall St
Christus Family Medicine Port Neches
Port Neches, TX 77651-4208
Phone (409) 722-4400

5875 N Major Dr
Beaumont, TX 77713-9034
Phone (409) 892-2262

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
  • Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
C H Wilkinson Physician Network Family Medicine CurrentSince Sep 15, 2014 Accepting new patients
C H Wilkinson Physician Network CurrentSince Sep 15, 2014 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Dec 1, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 1, 2020 Accepting new patients
Baptist Physician Network PastSince Dec 23, 2009 Accepting new patients
Trinity Clinic Family Medicine Past Accepting new patients

Locations

5875 N Major Dr
Beaumont, TX 77713
Phone (409) 892-2262

3030 North St
Ste 420
Beaumont, TX 77702
Phone (409) 835-2900

919 Hidden Rdg
Irving, TX 75038

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

151 Country Lane Dr
Lumberton, TX 77657
Phone (409) 751-0200

2246 Nall St
Port Neches, TX 77651
Phone (409) 344-4010

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • Direct secure messaging: lpowell208322@christushealth.direct-ci.net

Organizations & group practices 6

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 3

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1891825832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HIDDEN RDG",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383813",
            "telephone_number": "469-282-2711",
            "fax_number": "469-282-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295390",
            "telephone_number": "210-705-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5875 N Major Dr",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777139034",
            "country_code": "US",
            "telephone_number": "409-892-2262",
            "fax_number": "409-892-3336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "LESLIE",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2021-05-10",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1K2003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210799702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P02601530",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.