Active NPI
Jorge J Leal, MD
- Urology Physician
- Merritt Island, FL
National Provider Identifier
1093850927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME29037
- Practice address
- 825 N Courtenay Pkwy
Merritt Island, FL 32953-4652 - Phone
- (321) 452-2563
- Fax
- (321) 453-5841
- NPI assigned
- Feb 20, 2007
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME29037 | FL | Primary |
Addresses
Primary practice location
825 N Courtenay Pkwy
Merritt Island, FL 32953-4652
Mailing address
825 N Courtenay Pkwy
Merritt Island, FL 32953-4652
Phone (321) 452-2563
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05400 | Other | FL | BLUE CROSS BLUE SHIELD |
| 1653673 | Other | CIGNA | |
| 406142183 | Other | RAIL ROAD MEDICARE | |
| 4104040 | Other | AETNA |
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
- Urology
- Education
- University of Florida College of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
825 N Courtenay Pkwy
Merritt Island, FL 32953-4652
Hospital & facility affiliations
- Cape Canaveral Hospital
- Parrish Medical Center
- Orlando Health Melbourne Hospital
- Holmes Regional Medical Center
- Viera Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME29037 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jorge J Leal MD Urologist LLC | Urology | Current | Accepting new patients |
Locations
825 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 452-2563
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- Urology Physician
- Merritt Island, FL
- NPI 1790820603
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
dba Orlando Health Melbourne Hospital
- General Acute Care Hospital
- Melbourne, FL
- NPI 1033937883
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1093850927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 N COURTENAY PKWY",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329534652",
"telephone_number": "321-452-2563",
"fax_number": "321-453-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 N COURTENAY PKWY",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329534652",
"telephone_number": "321-452-2563",
"fax_number": "321-453-5841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAL",
"first_name": "JORGE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME29037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "05400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1653673",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "406142183",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4104040",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.