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Individual provider Active NPI

Isidro G De Leon, DO

  • Family Medicine Physician
  • Sealy, TX
National Provider Identifier
1942236856
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7714 Issued in TX
Practice address
826 S Meyer St.
Sealy, TX 77474-3433
Phone
(979) 627-0795
Fax
(979) 627-0799
NPI assigned
Jun 23, 2006
Last updated
Aug 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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 K7714 TX Primary

Addresses

Primary practice location

826 S Meyer St.
Sealy, TX 77474-3433

Mailing address

826 S Meyer St
Sealy, TX 77474-3433
Phone (979) 627-0795

Other identifiers 5

IdentifierTypeStateIssuer
144736901MedicaidTX
8123N0OtherTXMEDICARE
8123N0OtherTXBCBS
5658340001OtherTXMEDICARE NSC
P00140711OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000434 TX Practitioner - Family Practice 6709857899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

826 S Meyer St
Sealy, TX 77474-3433
Phone (979) 627-0795

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Isidro G Deleon DO PA Family Medicine CurrentSince May 8, 2001 Accepting new patients
Om Sakthi P.a. CurrentSince May 26, 2024 Accepting new patients
Om Sakthi P.a. CurrentSince May 26, 2024 Accepting new patients

Locations

1036 N Circle Dr
Sealy, TX 77474
Phone (281) 302-6636

826 Meyer St
Sealy, TX 77474
Phone (979) 627-0795

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.

Hospital & facility affiliations 8

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1942236856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 S MEYER ST",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774743433",
            "telephone_number": "979-627-0795",
            "fax_number": "979-627-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 S MEYER ST.",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774743433",
            "telephone_number": "979-627-0795",
            "fax_number": "979-627-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "ISIDRO",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144736901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8123N0",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8123N0",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "5658340001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00140711",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sealy, TX

Sources for this page

Verify at the official NPI Registry.