Active NPI
Derek Leaderer, M.D.
- Vascular Surgery Physician
- Celebration, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME174788
- Practice address
- 410 Celebration PL Ste 402
Celebration, FL 34747-5436 - Phone
- (407) 303-4080
- Fax
- (407) 303-7255
- NPI assigned
- Apr 28, 2017
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ME174788 | FL | Primary |
Addresses
Primary practice location
410 Celebration PL Ste 402
Celebration, FL 34747-5436
Mailing address
410 Celebration PL Ste 402
Celebration, FL 34747-5436
Phone (407) 303-4080
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
- Vascular Surgery
- Education
- Tufts University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
400 Celebration PL
Celebration, FL 34747-4970
410 Celebration PL
Suite 302
Celebration, FL 34747-5435
Phone (407) 303-3824
Hospital & facility affiliations
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME174788 | FL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients |
Locations
410 Celebration Pl
Ste 402
Kissimmee, FL 34747
Phone (407) 296-1871
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1104351980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 CELEBRATION PL STE 402",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347475436",
"telephone_number": "407-303-4080",
"fax_number": "407-303-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 CELEBRATION PL STE 402",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347475436",
"telephone_number": "407-303-4080",
"fax_number": "407-303-7255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEADERER",
"first_name": "DEREK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-28",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME174788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Celebration, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.