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LESLIE-ANNE JUAREZ DIETRICH M.D.
NPI 1144580374
Pediatrics - Neonatal-Perinatal Medicine in San Antonio, TX

Active since May 22, 2012PECOS Enrolled
4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 567-5225(210) 358-4775 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2026, Mar 26, 2026, Jan 19, 2016 (3 updates tracked since 2016).

About Leslie-anne Juarez Dietrich M.d. NPPES

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

LESLIE-ANNE JUAREZ DIETRICH M.D. (NPI 1144580374) is an individual neonatal-perinatal medicine provider in San Antonio, Texas, licensed in Texas (S5361) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1144580374
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameLESLIE-ANNE JUAREZ DIETRICHCredential: M.D.
Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402
Mailing Address1624 W Flynn LnPhoenix, AZ 85015-1432 · (210) 787-8818
Phone(210) 567-5225
Fax(210) 358-4775
Sole ProprietorNo
Enumeration DateMay 22, 2012
Last NPPES UpdateApril 9, 20263 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1144580374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in TX · S5361
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 50595 (AZ), S5361 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4502 MEDICAL DR, San Antonio, TX 78229
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Secondary Practice Location 1

Location 11919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 546-2923

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community First and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leslie-anne Juarez Dietrich M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Leslie-anne Dietrich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medicine Associates
7.0 mi
Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 clinicians in this Medicare group
NPI 1245313329 (210) 358-3401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDUARDO N. POLLONO MD
Internal Medicine (Cardiovascular Disease)
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000
DR. MAHDIEH IRAN NEJAD PARIZI M.D.
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2015
RICHARD LEE BALLENTINE D.M.D.
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2015
MR. STEVAN REYES PTA
Physical Therapy Assistant
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4253
MRS. CLAIRE LELEUX BEADLE CRNA
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000
NNENNA AWAGU CRNA
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-4500
DR. CYNTHIA N NGUYEN PHARMD
Pharmacist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 743-4034
DR. JONATHAN EDWARD SLOVIK MD
Hospitalist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie-anne Dietrich's NPI number?

The NPI number for Leslie-anne Dietrich is 1144580374. It was assigned to this individual provider in the NPPES registry on May 22, 2012.

Where is Leslie-anne Dietrich located?

Leslie-anne Dietrich practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 567-5225.

What is Leslie-anne Dietrich's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Leslie-anne Dietrich enrolled in Medicare?

Yes. Leslie-anne Dietrich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leslie-anne Dietrich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leslie-anne Dietrich reassigns Medicare benefits to Community Medicine Associates (San Antonio, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leslie-anne Dietrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leslie-anne Dietrich accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community First, Imperial Insurance Companies, Inc. and WellPoint list Leslie-anne Dietrich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leslie-anne Dietrich was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.