Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rodolfo Leongson San Juan Jr., MD

Individual provider Family Medicine Physician · NPI 1881895233

Rodolfo Leongson San Juan Jr., MD is a General Practice in Crown Point, Indiana. Qualified in 1993, 33 years ago. Practices with Franciscan Physician Network, a 1,171-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Virginia.

Years since qualifying
33
Licensed in
IN, VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11161 Randolph St
Crown Point, IN 46307-8564
Phone: (219) 662-9424
Fax: (219) 662-7465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01064429A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0116017383 (VA)

Record details

NPI number1881895233
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2007
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Franciscan Physician Network — 1171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Crown Point