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Deactivated NPI 1154521003 Deactivated / Inactive NPI Male Practitioner

Dr. Augusto Romero De Leon , MD

Surgery • Baltimore, MD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Augusto De Leon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 19, 2007
NPI Deactivation Date October 02, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Augusto De Leon, MD was a registered Surgery practicing in Baltimore, MD. Throughout an active medical career spanning 18 years, Dr. De Leon provided care at the practice location at 1120 ST PAUL ST until profile deactivation on 2025-10-02.

Practice Location & Contact Primary Location

Practice Address

1120 St Paul St

Baltimore, MD 21202

Telephone 4106857790
Associated Practice Facility / Clinic
🏢 Pacific Rehab Of Maryland Facility NPI 1043418494

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.8 Yrs
State Avg: 28.6 Yrs
Regional Practice Density
266 Specialists

Practicing in Baltimore, MD (717 Statewide)

Telehealth Adoption Rate
12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MD 00003577

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Danielle Polk , PTA

Physical Therapy Assistant

NPI 1013304872

Physical Therapist Assistant

Dr. William Russell , MD

Physical Medicine & Rehabilitation

NPI 1154634418

Doctor of Medicine (M.D.)

Sarah Ice , PT

Physical Therapist

NPI 1154683027

Physical Therapist

NPI 1225390560

PHYSICALTHERAPIST

NPI 1235339185

Doctor of Medicine (M.D.)

Jennifer Ighodaro

Physical Therapy Assistant

NPI 1235905092

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 02, 2025

Record deactivated on October 02, 2025

NPI Profile Active July 19, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 19, 2007

Registered at 1120 ST PAUL ST, BALTIMORE, MD 21202 (Tel: 4106857790)

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Updated Business Mailing Address July 19, 2007

Registered at 813 STAGS HEAD RD, TOWSON, MD 21286 (Tel: 4108232873)

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Provider Name / Credentials Updated July 19, 2007

Recorded as AUGUSTO DE LEON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2007

Surgery (License #00003577 in MD)

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Initial NPI Registration & Enumeration July 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154521003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2007
Last Update: July 19, 2007
Deactivation Date: October 02, 2025

Mailing Address

813 Stags Head Rd

Towson, MD 21286

Phone: 4108232873

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.