Active NPI
Ronnie Sabbah, M.D.
- Cardiovascular Disease Physician
- Leesburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME 78486
- Practice address
- 803 E Dixie Ave
Leesburg, FL 34748-6013 - Phone
- (352) 530-2256
- Fax
- (352) 414-4638
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME 78486 | FL | Primary |
Addresses
Primary practice location
803 E Dixie Ave
Leesburg, FL 34748-6013
Mailing address
803 E Dixie Ave
Leesburg, FL 34748-6013
Phone (352) 530-2256
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46873 | Other | FL | BCBS |
| 256970100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Tennessee, HSC, College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
803 E Dixie Ave
Leesburg, FL 34748-6013
Phone (352) 530-2256
Hospital & facility affiliations
- Uf Health Leesburg Hospital
- Villages Regional Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 78486 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiothoracic & Vascular Surgical Associates PA | Cardiovascular Disease | Current | Accepting new patients |
| Neuropsychiatry Centers LLC | Past | Accepting new patients |
Locations
1032 Mar Walt Dr
Unit 250
Ft Walton Bch, FL 32547
Phone (850) 682-0032
1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343
801 E Dixie Ave
Ste 107
Leesburg, FL 34748
Phone (352) 315-0627
715 E Dixie Ave
Leesburg, FL 34748
Phone (352) 326-7999
803 E Dixie Ave
Leesburg, FL 34748
Phone (352) 530-2256
4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
- FL PPO
- FL HMO
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GBIFCA/Endpoint/GBIFCA
- rsabbah563890@direct.shands.ufl.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1851403125
Cardiovascular Disease
-
- Clinical Neuropsychologist
- Lady Lake, FL
- NPI 1215483516
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1013900448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 E DIXIE AVE",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347486013",
"telephone_number": "352-530-2256",
"fax_number": "352-414-4638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 E DIXIE AVE",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347486013",
"telephone_number": "352-530-2256",
"fax_number": "352-414-4638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABBAH",
"first_name": "RONNIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME 78486",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "46873",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "256970100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.