1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JUAN JAVIER LEON AVILA MD
NPI 1174326193
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 27, 2025PECOS Enrolled
3400 SPRUCE ST, PHILADELPHIA, PA 19104(305) 781-7558 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 11, 2025, Mar 31, 2025, Mar 27, 2025 (3 updates tracked since 2025).

About Juan Javier Leon Avila Md NPPES

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

JUAN JAVIER LEON AVILA MD (NPI 1174326193) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174326193
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUAN JAVIER LEON AVILACredential: MD
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address4508 Springfield Ave Apt 3Philadelphia, PA 19143-3709 · (305) 781-7558
Phone(305) 781-7558
Sole ProprietorNo
Enumeration DateMarch 27, 2025
Last NPPES UpdateApril 11, 20253 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1174326193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3400 SPRUCE ST, Philadelphia, PA 19104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juan Javier Leon Avila 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.

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.

DR. HARRY BART SMELTZ DO
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
ISSAM A MARDINI MD
Anesthesiology (Pain Medicine)
3400 SPRUCE ST, HUP-DULLES 6, ANESTHESIOLOGY DEPT
PHILADELPHIA, PA 19104
Philadelphia County (610) 416-4145
BARBARA A BERNHARDT MS
Genetic Counselor, MS
3400 SPRUCE ST, 535 MALONEY BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4740
MS. JILL ELISE STOPFER MS
Genetic Counselor, MS
3400 SPRUCE ST, 2007 PENN TOWER
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8143
MS. ROSEMARY THERESA MCMENAMIN CRNP
Nurse Practitioner (Adult Health)
3400 SPRUCE ST, GOUND FLOOR SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6963
MS. LYNN GODMILOW MSW
Genetic Counselor, MS
3400 SPRUCE ST, ROOM 538 MALONEY BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4740
DR. JAMES DAVID KOLKER MD
Radiology (Radiation Oncology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
DR. RUTH HERMAN STEINMAN M.D.
Psychiatry & Neurology (Psychiatry)
3400 SPRUCE ST, 2016 PENN TOWER
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-0534

Frequently Asked Questions

What is Juan Leon Avila's NPI number?

The NPI number assigned to this healthcare provider is 1174326193, enumerated as an "individual" on March 27, 2025.

Where is the provider located?

The provider is located at 3400 SPRUCE ST PHILADELPHIA, PA 19104 and the phone number is (305) 781-7558.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.