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

Q: 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.

Q: 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.

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: August 02, 2026.

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

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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, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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)