Individual provider Active NPI

Yashel Wedderburn Landell, MD

  • Family Medicine Physician
  • Leesburg, FL
National Provider Identifier
1245518638
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME108408 Issued in FL
Practice address
8113 Centralia CT Ste 102
Leesburg, FL 34788-7521
Phone
(877) 423-1330
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 049582 CT
Family Medicine Physician 207Q00000X ME108408 FL Primary

Addresses

Primary practice location

8113 Centralia CT Ste 102
Leesburg, FL 34788-7521

Mailing address

225 W Hwy 434
Longwood, FL 32750-4980
Phone (407) 459-4360

Other practice location 1

2106 N Orange Ave # 100
Orange Ave Consulting
Orlando, FL 32804
Phone (407) 459-1181

Other identifiers 1

IdentifierTypeStateIssuer
008035036MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
049582CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sigma Medical Group, LLC Family Medicine CurrentSince Jun 28, 2017 Accepting new patients
American Arthritis & Rheumatology Associates LLC Past Accepting new patients

Locations

225 W State Road 434
Ste 203
Longwood, FL 32750
Phone (407) 459-4360

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAHBDD/Endpoint/AAHBDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1245518638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W HWY 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504980",
            "telephone_number": "407-459-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8113 CENTRALIA CT STE 102",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347887521",
            "telephone_number": "877-423-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2106 N Orange Ave # 100",
            "address_2": "Orange Ave Consulting",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32804",
            "country_code": "US",
            "telephone_number": "407-459-1181",
            "fax_number": "321-732-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEDDERBURN LANDELL",
        "first_name": "YASHEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "049582",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME108408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008035036",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.