1. Home
  2. Directory
  3. Alaska
  4. Elmendorf Afb
  5. Physician Assistant
  6. NPI Profile

DR. SAMMY JOSEPH LEOS PA-C, DSC
NPI 1689004855
Physician Assistant - Surgical in Elmendorf Afb, AK

Active since November 25, 2013PECOS Enrolled
5955 ZEAMER AVE, ELMENDORF AFB, AK 99506(907) 580-1243 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2023, Jan 15, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Sammy Joseph Leos Pa-c, Dsc NPPES

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

DR. SAMMY JOSEPH LEOS PA-C, DSC (NPI 1689004855) is an individual surgical provider in Elmendorf Afb, Alaska, licensed in New Mexico (PA2014004) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689004855
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDR. SAMMY JOSEPH LEOSCredential: PA-C, DSC
Location Address5955 ZEAMER AVEElmendorf Afb, AK 99506-3702
Mailing Address673 Medical Group, 5955 Zeamer AveJber, AK 99506 · (907) 580-1243
Phone(907) 580-1243
Sole ProprietorNo
Enumeration DateNovember 25, 2013
Last NPPES UpdateMarch 17, 20234 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1689004855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NM · PA2014004
5955 ZEAMER AVE, Elmendorf Afb, AK 99506
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)

Dr. Sammy Joseph Leos Pa-c, Dsc 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. AUDREA DONETA WILLIAMS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
5955 ZEAMER AVE
JBER, AK 99506
Anchorage Municipality (907) 580-6552
DR. IAN CIRASUNDA DETTMAN PHARMD
Pharmacist
5955 ZEAMER AVE
JBER, AK 99506
Anchorage Municipality (907) 580-6800
DR. BRIAN G ROGERS MD
Emergency Medicine
5955 ZEAMER AVE, 3RD MD6
ELMENDORF AFB, AK 99506
Anchorage Municipality (907) 580-5555
MS. MONIQUE CELINE GASSEK ATC
Specialist/Technologist (Athletic Trainer)
5955 ZEAMER AVE
ELMENDORF AFB, AK 99506
Anchorage Municipality (603) 915-7141
RACHELLE GOEBEL
Dietitian, Registered
5955 ZEAMER AVE
JBER, AK 99506
Anchorage Municipality (907) 580-4050
DR. DAVID JOSEPH SHAW D.O.
Internal Medicine (Cardiovascular Disease)
5955 ZEAMER AVE, 673D MDG
JBER ELMENDORF AFB, AK 99506
Anchorage Municipality (907) 580-1011
ELDON SNYDER D.O.
Radiology (Diagnostic Radiology)
5955 ZEAMER AVE
JBER, AK 99506
Anchorage Municipality (907) 580-6760
DR. KIMPREET KAUR
Anesthesiology (Pain Medicine)
5955 ZEAMER AVE
ELMENDORF AFB, AK 99506
Anchorage Municipality (907) 580-7246

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 Sammy Leos's NPI number?

The NPI number for Sammy Leos is 1689004855. It was assigned to this individual provider in the NPPES registry on November 25, 2013.

Where is Sammy Leos located?

Sammy Leos practices at 5955 Zeamer Ave, Elmendorf Afb, AK 99506. The listed phone number is (907) 580-1243.

What is Sammy Leos's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Sammy Leos enrolled in Medicare?

Yes. Sammy Leos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sammy Leos was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.