NPIMap

Individual provider Active NPI

David Richard Lichtinger, D.O.

  • Internal Medicine Physician
  • Leesburg, FL
National Provider Identifier
1124115027
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS006324 Issued in FL
Practice address
29320 US Highway 27
Leesburg, FL 34748-8227
Phone
(352) 360-0400
Fax
(352) 360-0404
NPI assigned
Oct 10, 2006
Last updated
Nov 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS006324 FL Primary

Addresses

Primary practice location

29320 US Highway 27
Leesburg, FL 34748-8227

Mailing address

29320 US Highway 27
Leesburg, FL 34748-8227
Phone (352) 360-0400

Other identifiers 3

IdentifierTypeStateIssuer
80689OtherFLBLUE CROSS OF FLORIDA
371631700MedicaidFL
110060650OtherFLMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607001052 FL Practitioner - Internal Medicine 0941242598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Central Florida Medical Care,PAGroup PAC ID 3779525324, 2 clinicians

Practice addresses (Care Compare)

11962 County Rd
101 Suite 104
The Villages, FL 32162-9336
Phone (352) 693-3378

29320 US Hwy 27
Leesburg, FL 34748-8227
Phone (352) 360-0400

2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS006324FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Medical Care,PA Internal Medicine CurrentSince May 6, 2002 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

29320 US Highway 27
Leesburg, FL 34748
Phone (352) 360-0400

Interoperability endpoints

  • Direct secure messaging: david.lichtinger@cfmc.directbygreenway.com
  • Direct secure messaging: dlichtinger562643@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1124115027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29320 US HIGHWAY 27",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347488227",
            "telephone_number": "352-360-0400",
            "fax_number": "352-360-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29320 US HIGHWAY 27",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347488227",
            "telephone_number": "352-360-0400",
            "fax_number": "352-360-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTINGER",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS006324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF FLORIDA",
            "identifier": "80689",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371631700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110060650",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.