Robin Jackson Deleon, MD

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

M-9583 Issued in ID

Practice address

500 W Fort St
PM&R, Boise VA Medical Center
Boise, ID 83702-4501

Phone

(208) 422-1368

Fax

(208) 422-1188

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992807085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8061 S DIEGO WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837097378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W FORT ST",
            "address_2": "PM&R, BOISE VA MEDICAL CENTER",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024501",
            "telephone_number": "208-422-1368",
            "fax_number": "208-422-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "ROBIN",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "ID",
            "license": "M-9583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "M-9583",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Delacy, FNP
• Juan Carlos Delatorre, M.D.
• Bruce Delawyer
• David Dean Delawyer, PHD
• Joshua Jon Delbusso, RN
• Jeffrey Delfico, LMSW
• Spencer Delfino, MD
• Zana Delic, PA
• Deme Dellairo, LCSW
• Delray Maughan, M.D. PLLC

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Boise, ID
• Providers in Boise, ID by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.