Individual provider Active NPI

Jorge J Leal, MD

  • Pain Medicine Physician
  • Tampa, FL
National Provider Identifier
1194787838
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME61327 Issued in FL
Practice address
4730 N Habana Ave Ste 104
Tampa, FL 33614-7165
Phone
(813) 739-7498
Fax
(813) 864-0788
NPI assigned
Apr 6, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME61327 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X ME61327 FL
Pain Medicine Physician 208VP0000X ME61327 FL Primary
Interventional Pain Medicine Physician 208VP0014X ME61327 FL

Addresses

Primary practice location

4730 N Habana Ave Ste 104
Tampa, FL 33614-7165

Mailing address

4730 N Habana Ave
Ste 204
Tampa, FL 33614-7163
Phone (813) 549-2134

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
I20040113000132 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 7911807177 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

Practice addresses (Care Compare)

4730 N Habana Ave
Suite 104
Tampa, FL 33614-7165
Phone (813) 739-7498

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME61327FLMDPain Medicine (Anesthesiology) Physician
ME29037FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Tampa Anesthesia Consultants Anesthesiology CurrentSince Jun 1, 2007 Accepting new patients
Florida Pain Relief Group PLLC Anesthesiology CurrentSince Apr 4, 2016 Accepting new patients
Charles K Friedman DO PA Interventional Pain Medicine CurrentSince Jan 19, 2023 Accepting new patients
Physician Partners of America Crna Operations LLC Anesthesiology CurrentSince Apr 21, 2016 Accepting new patients
Jorge L Leal MD LLC Anesthesiology PastSince Oct 1, 2005 Accepting new patients
Jorge J. Leal, M.D., LLC. Past Accepting new patients

Locations

11377 Cortez Blvd
Brooksville, FL 34613
Phone (352) 597-0907

1320 S Belcher Rd
Clearwater, FL 33764
Phone (727) 518-8660

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

5767 49th St N
St Petersburg, FL 33709
Phone (727) 350-0450

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

4726 N Habana Ave
Ste 100
Tampa, FL 33614
Phone 81354921341109

4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260

4730 N Habana Ave
Ste 204
Tampa, FL 33614

4730 N Habana Ave
Ste 300
Tampa, FL 33614
Phone (813) 352-9465

7518 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (813) 426-8263

Interoperability endpoints

  • Direct secure messaging: jorge.leal@ppoa.directbygreenway.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194787838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE",
            "address_2": "STE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147163",
            "telephone_number": "813-549-2134",
            "fax_number": "813-864-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147165",
            "telephone_number": "813-739-7498",
            "fax_number": "813-864-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAL",
        "first_name": "JORGE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME61327",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME61327",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME61327",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME61327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.