Individual provider Active NPI

David G Legros, MD

  • Anesthesiology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1124083951
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME85605 Issued in FL
Practice address
3601 W Commercial Blvd
Anesco North Broward LLC, Ste 5
Fort Lauderdale, FL 33309-3300
Phone
(954) 485-5666
Fax
(954) 484-1651
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME85605 FL Primary

Addresses

Primary practice location

3601 W Commercial Blvd
Anesco North Broward LLC, Ste 5
Fort Lauderdale, FL 33309-3300

Mailing address

3601 W Commercial Blvd
Anesco North Broward LLC, Ste 5
Fort Lauderdale, FL 33309-3300
Phone (954) 485-5666

Other identifiers 2

IdentifierTypeStateIssuer
269465400MedicaidFL
018666600MedicaidFL

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
I20040628000329 FL Practitioner - Anesthesiology 6608852983 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

1901 SW 172 Ave
Miramar, FL 33029-5592
Phone (954) 538-4600

401 NW 42ND Ave
Plantation, FL 33317-2835
Phone (954) 587-5010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85605FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
St Lucie Anesthesia Associates LLC Anesthesiology CurrentSince Aug 1, 2017 Accepting new patients
Prosomnia Sleep Health & Wellness of Aventura LLC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
St. Lucie Anesthesia Associates, LLC Anesthesiology CurrentSince Aug 1, 2017 Accepting new patients
Clinic Physician Services Co. LLC Anesthesiology Past Accepting new patients

Locations

2820 NE 214th St
Ste 825
Aventura, FL 33180
Phone (754) 303-2178

501 Glades Rd
Boca Raton, FL 33432
Phone (561) 362-4400

3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1124083951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD",
            "address_2": "ANESCO NORTH BROWARD LLC, STE 5",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093300",
            "telephone_number": "954-485-5666",
            "fax_number": "954-484-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD",
            "address_2": "ANESCO NORTH BROWARD LLC, STE 5",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093300",
            "telephone_number": "954-485-5666",
            "fax_number": "954-484-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGROS",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME85605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269465400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018666600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.