KIMBERLY DE LEON MD
NPI 1740863380
Student in an Organized Health Care Education/Training Program in Dallas, TX

Q: What is Kimberly De Leon's NPI number?

The NPI number for Kimberly De Leon is 1740863380. It was assigned to this individual provider in the NPPES registry on May 2, 2021. The provider is also known as Kimberly Leith.

Q: What is Kimberly De Leon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly De Leon was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 02, 2021PECOS Enrolled

5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390(214) 648-3433 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2024, May 2, 2021 (2 updates tracked since 2021).

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About Kimberly De Leon Md NPPES

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

KIMBERLY DE LEON MD (NPI 1740863380) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740863380

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKIMBERLY DE LEONCredential: MD

Location Address5323 HARRY HINES BLVD STOP 7200Dallas, TX 75390-5597

Mailing Address5323 Harry Hines Blvd Stop 7200Dallas, TX 75390-7200 · (214) 648-3433

Phone(214) 648-3433

Sole ProprietorNo

Enumeration DateMay 2, 2021

Last NPPES UpdateMay 8, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2024

✔ NPI 1740863380 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.

5323 HARRY HINES BLVD STOP 7200, Dallas, TX 75390

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Other Names 1

Former Name (1)Kimberly Leith

Secondary Practice Locations 2

Location 1601 E Rollins StOrlando, FL 32803-1248 · Phone (407) 303-5600

Location 22200 Fowler Grove Blvd Ste 220Winter Garden, FL 34787-5597 · Phone (407) 656-0042

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly De Leon 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. JOSEPH KASSAB MD, MS

Student in an Organized Health Care Education/Training Program