PATRICIA DIAZ DE LEON (P.A.) – Physician Assistant, NPI 1821403056

PATRICIA DIAZ DE LEON (P.A.) is a healthcare provider. based in Live oak, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA05954 (TX). The NPI Number for PATRICIA DIAZ DE LEON (P.A.) is 1821403056

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA DIAZ DE LEON (P.A.)
NPI
1821403056
Phone
(210) 742-6555
Address
12410 TOEPPERWEIN RD
Enumeration Date
26 June 2014
Last Update Date
19 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2107426555
Graduation Year
2008 (18 years ago)
PAC ID
8123314911
Group Practice PAC ID
0648530386
Professional Enrollment ID
I20160902000860
Address ID
TX782401767SA4926XQUAI301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,584 PHYSICIAN ASSISTANT in TX

Provider Addresses for PATRICIA DIAZ DE LEON (P.A.)

  • 12410 TOEPPERWEIN RD

    LIVE OAK, TX 782333230

    Phone: (210) 742-6555

    Fax: (224) 623-0079

    Type: Mailing

  • 7326 S STAPLES ST

    CORPUS CHRISTI, TX 784135509

    Phone: (361) 993-0188

    Fax: (361) 993-0240

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: CARDIVA MEDICAL, INC. ($119).

Total Amount

$137

General + Research + Ownership

Payments

2

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160902000860IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78233)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648530386View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX
Physician AssistantTX
-WV
Nurse PractitionerTX

Reviews

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Frequently asked questions

What NPI should I save for PATRICIA DIAZ DE LEON (P.A.)?
Save NPI 1821403056 if you need a stable reference for PATRICIA DIAZ DE LEON (P.A.).
Is PATRICIA DIAZ DE LEON (P.A.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does PATRICIA DIAZ DE LEON (P.A.) work in?
You can think of PATRICIA DIAZ DE LEON (P.A.) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for PATRICIA DIAZ DE LEON (P.A.)?
The page summarizes Live Oak, Texas for PATRICIA DIAZ DE LEON (P.A.); expand the address list for detail.
What if Live Oak, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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