Individual provider Active NPI

Leonard Grecul, MD

  • Cardiovascular Disease Physician
  • Palm Bay, FL
National Provider Identifier
1164412284
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME98968 Issued in FL
Practice address
1421 Malabar Rd NE Ste 201
Palm Bay, FL 32907-2559
Phone
(321) 434-8531
Fax
(321) 434-8533
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME98968 FL Primary

Addresses

Primary practice location

1421 Malabar Rd NE Ste 201
Palm Bay, FL 32907-2559

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-8531

Other identifiers 3

IdentifierTypeStateIssuer
37873YOtherMEDICARE HF
269542100MedicaidFL
P01164095OtherFLRR 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
I20040706000460 FL Practitioner - Cardiovascular Disease (Cardiology) 0840277166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Loyola University of Chicago, Stritch School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1421 Malabar Rd NE
Suite 210
Palm Bay, FL 32907-2559
Phone (321) 434-8140

Hospital & facility affiliations

  • Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as apm
Quality
86.5
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98968FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Feb 15, 2013 Accepting new patients
Health First Medical Group, LLC Cardiovascular Disease CurrentSince Feb 15, 2013 Accepting new patients
Spectrum Health Primary Care Partners PastSince Jan 21, 2024 Accepting new patients
Health First Physician Specialties Inc Past Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

730 Malabar Rd
Ste A
Malabar, FL 32950
Phone (321) 312-3467

1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677

1421 Malabar Rd NE
Ste 210
Palm Bay, FL 32907
Phone (321) 434-8140

1421 Malabar Rd NE
Ste 201
Palm Bay, FL 32907
Phone (321) 434-8531

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

Interoperability endpoints

  • Direct secure messaging: lgrecul23018@epicdirect.hf.org

Organizations & group practices 4

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 4

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1164412284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-434-8531",
            "fax_number": "321-951-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 MALABAR RD NE STE 201",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072559",
            "telephone_number": "321-434-8531",
            "fax_number": "321-434-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECUL",
        "first_name": "LEONARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME98968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "37873Y",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269542100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01164095",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.