Individual provider Active NPI

Ramon Leon, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1073694337
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0092409 Issued in FL
Practice address
5901 SW 74TH St Ste 205
Miami, FL 33143-5150
Phone
(305) 666-8691
Fax
(305) 661-0905
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0092409 FL Primary

Addresses

Primary practice location

5901 SW 74TH St Ste 205
Miami, FL 33143-5150

Mailing address

14750 NW 77TH CT
Ste 100
Miami Lakes, FL 33016-1507
Phone (305) 666-8691

Other practice location 1

9635 SW 181st Ter
Palmetto Bay, FL 33157-5630
Phone (305) 238-8561

Other identifiers 1

IdentifierTypeStateIssuer
33206OtherFLGROUP MEDICARE #

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
I20050829000261 FL Practitioner - Family Practice 5799716841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

600 N Homestead Blvd
Homestead, FL 33030-6210
Phone (305) 833-1619

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy25
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0092409FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Dade Primary Care, LLC CurrentSince Jan 5, 2020 Accepting new patients
Ramon Leon MD LLC Family Medicine CurrentSince Oct 1, 2008 Accepting new patients
Joseph Thevenin Jr, MD PA Past Accepting new patients
Metro Dade Health Specialist PastSince Apr 18, 2006 Accepting new patients
Ernesto J Perez MD LLC Past Accepting new patients

Locations

600 N Homestead Blvd
Homestead, FL 33030
Phone (305) 509-6868

1000 NW 57th Ct
Ste 400
Miami, FL 33126

14750 NW 77th Ct
Ste 100
Miami Lakes, FL 33016
Phone (786) 485-1005

7000 SW 62nd Ave
Ste 210
South Miami, FL 33143
Phone (305) 661-9100

5901 SW 74th St
Ste 205
South Miami, FL 33143
Phone (305) 666-8691

7540 SW 61st Ave
South Miami, FL 33143
Phone (305) 666-5052

Organizations & group practices 5

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 9

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1073694337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT",
            "address_2": "STE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161507",
            "telephone_number": "305-666-8691",
            "fax_number": "305-661-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 SW 74TH ST STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331435150",
            "telephone_number": "305-666-8691",
            "fax_number": "305-661-0905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9635 SW 181st Ter",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331575630",
            "country_code": "US",
            "telephone_number": "305-238-8561",
            "fax_number": "305-238-4089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "RAMON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0092409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE #",
            "identifier": "33206",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.