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DR. KAREL A DELEEUW M.D.
NPI 1225013022
Oral & Maxillofacial Surgery in Phoenix, AZ

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
1441 N 12TH ST FL 3, PHOENIX, AZ 85006(602) 521-5977(602) 521-5151 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2025, Apr 29, 2022, Jul 17, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Karel A Deleeuw M.d. NPPES

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

DR. KAREL A DELEEUW M.D. (NPI 1225013022) is an individual oral & maxillofacial surgery provider in Phoenix, Arizona, licensed in Arizona (32072) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1225013022
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. KAREL A DELEEUWCredential: M.D.
Location Address1441 N 12TH ST FL 3Phoenix, AZ 85006-2837
Mailing Address34522 N Scottsdale Rd # 404Scottsdale, AZ 85266-1224 · (480) 495-3356
Phone(602) 521-5977
Fax(602) 521-5151
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateDecember 14, 2005
Last NPPES UpdateJune 9, 20254 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1225013022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in AZ · 32072✔ Licensed in AZ · D06081✔ Licensed in ND · PT15017✔ Licensed in ND · 15017
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 2332 (ND)
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 32072 (AZ)
1441 N 12TH ST FL 3, Phoenix, AZ 85006
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Secondary Practice Location 1

Location 15779 E Mayo BlvdPhoenix, AZ 85054 · Phone (480) 301-8000

Other Identifiers 4

Other86080015085259C381AZ · Triwest
Medicaid816936AZ
MedicaidMRM5813MO
OtherP00150696AZ · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross and Blue Shield of Montana 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 and accepts Medicare assignment

Dr. Karel A Deleeuw M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42110348
PECOS Enrollment IDI20230327001152
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 Reassignments

2

Medicare enrollment records show Karel Deleeuw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner - University Physician Specialists LLC
1.5 mi
Multi-Specialty
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 553 clinicians in this Medicare group
NPI 1417312760 (602) 747-4000
Banner Hospital Based Physicians Arizona LLC
20 mi
Multi-Specialty
1900 N HIGLEY RD
Gilbert, AZ 85234
  • Reassigned Medicare billing, Arizona enrollment
  • 1,081 clinicians in this Medicare group
NPI 1124374822 (480) 543-2034

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services27 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services19 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
19 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
18 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

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.

MARTA REBECCAH LIANG PA-C
Physician Assistant (Medical)
1441 N 12TH ST FL 3
PHOENIX, AZ 85006
Maricopa County (602) 521-5700
MRS. SONIA TERESA BRUNSON FNP-BC
Nurse Practitioner (Family)
1441 N 12TH ST FL 3
PHOENIX, AZ 85006
Maricopa County (602) 521-5700
MARY NOWLEN MD
Student in an Organized Health Care Education/Training Program
1441 N 12TH ST FL 3
PHOENIX, AZ 85006
Maricopa County (602) 521-5700
AMAYA IVON ALARCON TORRES DO
Student in an Organized Health Care Education/Training Program
1441 N 12TH ST FL 3
PHOENIX, AZ 85006
Maricopa County (602) 521-5700
DR. EMINA GULBIS MD
Student in an Organized Health Care Education/Training Program
1441 N 12TH ST FL 3
PHOENIX, AZ 85006
Maricopa County (602) 521-5700
DR. DANIEL D JAMESON DMD
Student in an Organized Health Care Education/Training Program
1441 N 12TH ST FL 3
PHOENIX, AZ 85006
Maricopa County (602) 521-5150
LUC ALEXANDER COLBURN MD
Colon & Rectal Surgery
1441 N 12TH ST FL 3
PHOENIX, AZ 85006
Maricopa County (602) 521-5100
MR. PATRIC JOSEPH SIERZEGA P.A.-C
Physician Assistant (Medical)
1441 N 12TH ST FL 3
PHOENIX, AZ 85006
Maricopa County (602) 521-5770

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 Karel Deleeuw's NPI number?

The NPI number for Karel Deleeuw is 1225013022. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Karel Deleeuw located?

Karel Deleeuw practices at 1441 N 12th St Fl 3, Phoenix, AZ 85006. The listed phone number is (602) 521-5977.

What is Karel Deleeuw's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Karel Deleeuw enrolled in Medicare?

Yes. Karel Deleeuw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Karel Deleeuw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karel Deleeuw reassigns Medicare benefits to 2 organizations: Banner - University Physician Specialists LLC (Phoenix, AZ) and Banner Hospital Based Physicians Arizona LLC (Gilbert, AZ). Each 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 Karel Deleeuw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karel Deleeuw accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Karel Deleeuw 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 Karel Deleeuw was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.