Individual provider Active NPI

Ronnie Sabbah, M.D.

  • Cardiovascular Disease Physician
  • Leesburg, FL
National Provider Identifier
1013900448
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 78486 Issued in FL
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

Updated by the provider on Mar 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
46873OtherFLBCBS
256970100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102001526 FL Practitioner - Cardiovascular Disease (Cardiology) 0749474831 Reassigns benefits to 1 organization

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
Cardiothoracic and Vascular Surgical Associates PAGroup PAC ID 5395725188, 85 clinicians

Practice addresses (Care Compare)

803 E Dixie Ave
Leesburg, FL 34748-6013
Phone (352) 530-2256

Hospital & facility affiliations

  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 78486FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic & Vascular Surgical Associates PA Cardiovascular Disease CurrentSince Jan 15, 2023 Accepting new patients
Neuropsychiatry Centers LLC PastSince Sep 1, 2016 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBIFCA/Endpoint/GBIFCA
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.