LESLIE-ANNE JUAREZ DIETRICH M.D.
NPI 1144580374
Pediatrics - Neonatal-Perinatal Medicine in San Antonio, TX
NPI Status: Active since May 22, 2012
Contact Information
4502 MEDICAL DR
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 567-5225
- Individual
- Female
- Pediatrics
- Neonatal-Perinatal Medicine
- Accepts Insurance
- PECOS Enrolled
About LESLIE-ANNE DIETRICH
This page provides the complete NPI Profile along with additional information for Leslie-anne Dietrich, a pediatrician established in San Antonio, Texas with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1144580374 assigned on May 2012. The practitioner's primary taxonomy code is 2080N0001X with license number S5361 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1144580374
- Provider Name
- LESLIE-ANNE JUAREZ DIETRICH M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4502 MEDICAL DR SAN ANTONIO, TX 78229
- Location Phone
- (210) 567-5225
- Mailing Address
- 1624 W FLYNN LN PHOENIX, AZ 85015
- Mailing Phone
- (210) 787-8818
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-22-2012
- Last Update Date
- 05-24-2024
- Code Navigator
A pediatrician like Leslie-anne Dietrich is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 1919 E Thomas Rd
Phoenix, AZ 85016
(602) 546-2923
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- S5361
- License State
- TX
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | S5361 (TX) |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 50595 (AZ) |
| 3 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Wellpoint Essential Bronze 4000 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
- Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Catastrophic 9200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Gold POS 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Leslie-anne Dietrich is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for LESLIE-ANNE JUAREZ DIETRICH M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 5 | 8 | 0 | 3 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 10 | 8 | 0 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 1 + 0 + 8 + 0 + 3 + 1 + 4 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1144580374 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770573834 | DR. ALLEN CLARENCE WHITFORD JR. D.O. Individual | Emergency Medicine | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 358-2078 |
| 1962481945 | FRANCISCO G CIGARROA MD Individual | Transplant Surgery | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 358-4000 |
| 1497724934 | MARLO MAGSANOC NICOLAS MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 567-4003 |
| 1215997507 | DR. CRAIG W COOLEY MD Individual | Emergency Medicine | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 358-2078 |
| 1215982434 | STANLEY SCOTT OATMAN P.A-C Individual | Physician Assistant | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 358-1972 |
| 1770526162 | DR. TRACY R JOHNSON MD Individual | Physical Medicine & Rehabilitation | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 358-2710 |
| 1295758977 | JOHN S RICHARDSON MD Individual | Anesthesiology | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 358-4000 |
| 1447266184 | CLAUDIO F ZEBALLOS M.D. Individual | Emergency Medicine | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 358-2078 |
| 1770590481 | GRAZYNA M. THOMAS PA Individual | Physician Assistant | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 358-2078 |
| 1699786566 | SUSAN H NOORILY M.D. Individual | Anesthesiology | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 358-4000 |
| 1922019447 | THEODORE AREVALO MD Individual | Hospitalist | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 358-4000 |
| 1568473080 | MARIA BARNES CNM Individual | Advanced Practice Midwife | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 358-4000 |
| 1932110459 | SHERRY L. WERNER M.D. Individual | Pathology (Anatomic Pathology) | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 358-4000 |
| 1114030319 | STEPHEN CODY MD Individual | Pediatrics | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 592-0400 |
| 1275646390 | SHIRLEY DOEPKE CRNA Individual | Nurse Anesthetist, Certified Registered | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 257-1614 |
| 1376650440 | BALAKUNTALAM KASINATH MD Individual | Internal Medicine (Nephrology) | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 257-1400 |
| 1902913072 | DEAN KELLOGG, JR MD Individual | Family Medicine (Geriatric Medicine) | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 257-1400 |
| 1316054380 | LOUISE BRUMFIELD CRNA Individual | Nurse Anesthetist, Certified Registered | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 257-1400 |
| 1225145295 | EUGENIA BRYAN MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 257-1400 |
| 1023125192 | CYNTHIA BLANCO MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 4502 MEDICAL DR SAN ANTONIO, TX 78229 (210) 257-1400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144580374, enumerated in the NPI registry as an "individual" on May 22, 2012
The provider is located at 4502 Medical Dr San Antonio, Tx 78229 and the phone number is (210) 567-5225
The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine
The provider might be accepting Accepts: BannerAetna, Baylor Scott and White Health Plan,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 22, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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