NPIMap

Individual provider Active NPI

Jose J Leyva, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Houston, TX
National Provider Identifier
1992703714
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
D3740 Issued in TX
Practice address
11275 S Sam Houston Pkwy W
Suite 150
Houston, TX 77031-2357
Phone
(832) 328-4545
Fax
(832) 328-4548
NPI assigned
Jul 14, 2005
Last updated
Jul 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X D3740 TX Primary

Addresses

Primary practice location

11275 S Sam Houston Pkwy W
Suite 150
Houston, TX 77031-2357

Mailing address

PO Box 27903
Houston, TX 77227-7903
Phone (832) 407-2541

Other identifiers 1

IdentifierTypeStateIssuer
0967168-01MedicaidTX

Other names 1

  • Jose J Leyva Professional name

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

LicenseStateTypeSpecialty
24511TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medicine Center LLC Past Accepting new patients
Samantha J Vigneri Past Accepting new patients
Health and Human Services Commission Past Accepting new patients
Department of State Health Services Past Accepting new patients
The Harris Center for Mental Health and Idd PastSince May 17, 2004 Accepting new patients
RPK Anesthesia PA. Past Accepting new patients
Rodom Medical Consulting PA Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1992703714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27903",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772277903",
            "telephone_number": "832-407-2541",
            "fax_number": "713-439-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11275 S SAM HOUSTON PKWY W",
            "address_2": "SUITE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770312357",
            "telephone_number": "832-328-4545",
            "fax_number": "832-328-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYVA",
        "first_name": "JOSE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TX",
            "license": "D3740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0967168-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "LEYVA",
            "middle_name": "J",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.