Active NPI
Emma Diaz de Leon, MD
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
National Provider Identifier
1922102367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- K8118
- Practice address
- 3445 Executive Center Dr Ste 250
Austin, TX 78731-1678 - Phone
- (512) 579-4000
- Fax
- (512) 439-2814
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | K8118 | TX | Primary |
Addresses
Primary practice location
3445 Executive Center Dr Ste 250
Austin, TX 78731-1678
Mailing address
3445 Executive Center Dr Ste 250
Austin, TX 78731-1678
Phone (512) 579-4000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043512504 | Medicaid | TX | |
| 043512502 | Medicaid | TX | |
| 043512501 | Medicaid | TX | |
| 043512503 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K8118 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McAllen Pathology Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- McAllen, TX
- NPI 1053533000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922102367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3445 EXECUTIVE CENTER DR STE 250",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787311678",
"telephone_number": "512-579-4000",
"fax_number": "512-439-2814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 EXECUTIVE CENTER DR STE 250",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787311678",
"telephone_number": "512-579-4000",
"fax_number": "512-439-2814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ DE LEON",
"first_name": "EMMA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "K8118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043512504",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043512502",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043512501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043512503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.