Individual provider Active NPI

Patricia Leandro Bezerra, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Goshen, IN
National Provider Identifier
1255007985
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
01098899A Issued in IN
Practice address
2024 Dorchester CT Ste 1
Goshen, IN 46526-6546
Phone
(574) 537-1221
Fax
(574) 537-1225
NPI assigned
Aug 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 01098899A IN Primary

Addresses

Primary practice location

2024 Dorchester CT Ste 1
Goshen, IN 46526-6546

Mailing address

2024 Dorchester CT Ste 1
Goshen, IN 46526-6546
Phone (574) 537-1221

Other identifiers 1

IdentifierTypeStateIssuer
300029742MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20260623004724 IN Practitioner - EndocrinologyPractitioner - Internal Medicine 6103399902

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 High Park Ave
Goshen, IN 46526-4810

PO Box
Suite 834
Goshen, IN 46527

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57251519OHMDInternal Medicine Physician

Hospital & facility affiliations 3

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": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1255007985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 DORCHESTER CT STE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266546",
            "telephone_number": "574-537-1221",
            "fax_number": "574-537-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 DORCHESTER CT STE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266546",
            "telephone_number": "574-537-1221",
            "fax_number": "574-537-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEANDRO BEZERRA",
        "first_name": "PATRICIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01098899A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300029742",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.