DR. CHARLES THOMAS LEACH MD
NPI 1073620142
Pediatrics - Pediatric Infectious Diseases in San Antonio, TX

Q: What is Charles Leach's NPI number?

The NPI number for Charles Leach is 1073620142. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is Charles Leach's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Q: When was this NPI record last updated?

The NPPES record for Charles Leach was last updated on February 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 24, 2006PECOS Enrolled

333 N SANTA ROSA ST, SAN ANTONIO, TX 78207(210) 704-3391 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Charles Thomas Leach Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES THOMAS LEACH MD (NPI 1073620142) is an individual pediatric infectious diseases provider in San Antonio, Texas, licensed in Texas (H6882) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073620142

Entity TypeIndividualMale

Primary Taxonomy2080P0208X

Provider Legal NameDR. CHARLES THOMAS LEACHCredential: MD

Location Address333 N SANTA ROSA STSan Antonio, TX 78207-3108

Mailing Address315 N. San Saba, Ste.1003, Children's Hospital Of San AntonioSan Antonio, TX 78207 · (210) 704-3391

Phone(210) 704-3391

Sole ProprietorNo

Enumeration DateAugust 24, 2006

Last NPPES UpdateFebruary 12, 2015

✔ NPI 1073620142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians

Taxonomy Code2080P0208X

License✔ Licensed in TX · H6882

Definition

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

333 N SANTA ROSA ST, San Antonio, TX 78207

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Other Identifiers 1

Medicaid103034801TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Thomas Leach Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.