Madeleidis Lopez Leon, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME163679 Issued in FL

Practice address

3990 W Flagler St Ste 407
Coral Gables, FL 33134-1644

Phone

(305) 456-3879

NPI assigned

Apr 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Grove Physician Services PAGroup PAC ID 8628421526, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Hospice & Palliative Care of Southern Florida Hospice, Miami, FL, CCN 101543
• Bristol Hospice - Miami Dade, LLC Hospice, Miami, FL, CCN 101558
• Jackson Health System Hospital, Miami, FL, CCN 100022
• Kindred Hospital-South Florida-Ft Lauderdale Long-term care hospital, Fort Lauderdale, FL, CCN 102010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• 2M1 Healthcare Inc

  • Primary Care Clinic/Center
  • Hialeah, FL
  • NPI 1073338547
  Medicare reassignment NPD Authorized official
• Oak Grove Physician Services, P.a.

  • Internal Medicine Physician
  • North Miami Beach, FL
  • NPI 1689446700
  Medicare reassignment Care Compare group NPD
• Entrust Medical Group Inc

  • General Practice Physician
  • Miami Lakes, FL
  • NPI 1275363236
  Medicare reassignment NPD
• Optimum Health System LLC

  • Family Medicine Physician
  • Coral Gables, FL
  • NPI 1366226144
  Medicare reassignment NPD
• Seasons Medical Group of Florida PA

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1710238381
  Medicare reassignment NPD
• Sunshine Med Group, Inc

  • Clinic/Center
  • Coral Gables, FL
  • NPI 1679102917
  Medicare reassignment NPD
• Megalife Healthcare Inc

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1336964774
  NPD

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

• Bristol Hospice - Miami Dade, LLC

  • Community Based Hospice Care Agency
  • Miami, FL
  • NPI 1679011720
  Care Compare affiliation
• Jackson Memorial Hospital

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1013959972
  Care Compare affiliation
• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Coral Gables, FL
  • NPI 1124103650

  Long-term care hospital

  Care Compare affiliation
• Kindred Hospitals East, LLC

  • Rehabilitation Hospital Unit
  • Ft Lauderdale, FL
  • NPI 1376176503

  Long-term care hospital

  Care Compare affiliation
• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Hollywood, FL
  • NPI 1811072341

  Long-term care hospital

  Care Compare affiliation
• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Ft Lauderdale, FL
  • NPI 1861577306

  Long-term care hospital

  Care Compare affiliation
• Public Health Trust of Dade County Florida

  • Psychiatric Hospital Unit
  • Miami, FL
  • NPI 1043473093
  Care Compare affiliation
• Public Health Trust of Dade County Florida

  • Legal Medicine
  • Miami, FL
  • NPI 1194897421

  Hospital

  Care Compare affiliation
• Public Health Trust of Dade County Florida

  • Methadone Clinic
  • Miami, FL
  • NPI 1427120856

  Hospital

  Care Compare affiliation
• Public Health Trust of Dade County Florida

  • Multi-Specialty Clinic/Center
  • Miami, FL
  • NPI 1578633707

  Hospital

  Care Compare affiliation
• Public Health Trust of Dade County Florida

  • Medical Specialty Clinic/Center
  • Miami, FL
  • NPI 1831263771

  Hospital

  Care Compare affiliation
• Public Health Trust of Miami Dade County Florida

  • Multi-Specialty Clinic/Center
  • Miami, FL
  • NPI 1033283445

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1265013981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 W FLAGLER ST STE 407",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341644",
            "telephone_number": "305-456-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 W FLAGLER ST STE 407",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341644",
            "telephone_number": "305-456-3879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7031 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434701",
            "country_code": "US",
            "telephone_number": "305-284-7761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3990 W Flagler St Ste 407",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341644",
            "country_code": "US",
            "telephone_number": "305-456-3879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ LEON",
        "first_name": "MADELEIDIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME163679",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME163679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirggy Longchamps, ARNP-BC
• Renee Longini, DNP, CRNA
• Keari Abigail Lopez Alvarenga
• Lopez Eye Care PA
• Gined Lopez Ganem, MS ED
• Sergio Antonio Lopez Pina, APRN
• Marisa R Lopez Rodriguez, MD
• Amanda Lopez Sosa, BEHAVIOR ANALYST
• Adrian Lopez Truy, ARNP
• Evelyn Lopez-Brignoni, MD, PA

• General Practice Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.