Individual provider Active NPI

Leonardo Taarea, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Birmingham, AL
National Provider Identifier
1912386848
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
DO.1831 Issued in AL
Practice address
805 Saint Vincents Dr Ste 100
Birmingham, AL 35205
Phone
(205) 939-3699
Fax
(205) 581-7155
NPI assigned
May 26, 2015
Last updated
Jun 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X DO.1831 AL Primary

Addresses

Primary practice location

805 Saint Vincents Dr Ste 100
Birmingham, AL 35205

Mailing address

805 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1638
Phone (205) 939-3699

Other practice location 1

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 744-4611

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
I20191127000861 TX Practitioner - Family PracticePractitioner - Sports Medicine 7810287190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

16811 Southwest Fwy
Suite 200
Sugar Land, TX 77479-4728
Phone (281) 690-4678

17183 I H 45
Suite 210
Shenandoah, TX 77385-3313
Phone (936) 321-8000

17183 I H 45 S
Shenandoah, TX 77385-3313

17183 Interstate 45 S
Shenandoah, TX 77385-3313
Phone (936) 270-3662

4501 Magnolia Cove Dr
Kingwood, TX 77345-2252
Phone (936) 270-4949

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.1831ALMDSports Medicine (Family Medicine) Physician
1831ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC Sports Medicine CurrentSince Sep 13, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince Sep 13, 2019 Accepting new patients
Houston Methodist Specialty Physicians CurrentSince Sep 2, 2025 Accepting new patients
Houston Methodist Past Accepting new patients

Locations

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

16811 Southwest Fwy
Ste 200
Sugar Land, TX 77479
Phone (281) 690-4678

Interoperability endpoints

  • Direct secure messaging: ltaarea259480@directhoustonmethodist.org

Organizations & group practices 4

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 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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1912386848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051638",
            "telephone_number": "205-939-3699",
            "fax_number": "205-581-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35205",
            "telephone_number": "205-939-3699",
            "fax_number": "205-581-7155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Stantonsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342818",
            "country_code": "US",
            "telephone_number": "252-744-4611",
            "fax_number": "252-744-0060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAAREA",
        "first_name": "LEONARDO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AL",
            "license": "DO.1831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.