Individual provider Active NPI

Orrin Kent McLeod, D.O.

  • Family Medicine Physician
  • Cedar Crest, NM
National Provider Identifier
1972519759
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A-872-88 Issued in NM
Practice address
12127B N Hwy 14
Suite 5
Cedar Crest, NM 87008
Phone
(505) 281-2460
Fax
(505) 281-2463
NPI assigned
Jul 31, 2006
Last updated
Mar 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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 A-872-88 NM Primary

Addresses

Primary practice location

12127B N Hwy 14
Suite 5
Cedar Crest, NM 87008

Mailing address

12127B North Hwy 14 Suite 5
Cedar Crest, NM 87008
Phone (505) 281-2460

Other identifiers 2

IdentifierTypeStateIssuer
080165527OtherNMRAILROAD MEDICARE NUMBER
41178MedicaidNM

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
I20230421001774 TX Practitioner - Family Practice 6103736079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medcare Associates PAGroup PAC ID 5294714580, 28 clinicians

Practice addresses (Care Compare)

1050 State Hwy 16 S
Bandera, TX 78003-4830
Phone (830) 796-7713

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-872-88NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Associates, P.a. CurrentSince Apr 1, 2023 Accepting new patients
Medcare Associates PA Family Medicine Past Accepting new patients

Locations

1050 State Highway 16 S
Bandera, TX 78003
Phone (210) 824-5392

1201 S Main St
Ste 114
Boerne, TX 78006
Phone (830) 307-1200

1051 US Highway 90 E
Castroville, TX 78009
Phone (830) 931-3336

19260 Stone Oak Pkwy
Ste 105
San Antonio, TX 78258
Phone (210) 402-3456

Organizations & group practices 2

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 1

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1972519759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12127B NORTH HWY 14 SUITE 5",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "87008",
            "telephone_number": "505-281-2460",
            "fax_number": "505-281-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12127B N HWY 14",
            "address_2": "SUITE 5",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "87008",
            "telephone_number": "505-281-2460",
            "fax_number": "505-281-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "ORRIN",
        "middle_name": "KENT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-872-88",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "080165527",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41178",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Crest, NM

Sources for this page

Verify at the official NPI Registry.