Individual provider Active NPI

Leonardo Martins Vieira, M.D.

  • Family Medicine Physician
  • Trinity, FL
National Provider Identifier
1265484414
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME81728 Issued in FL
Practice address
2044 Trinity Oaks Blvd Ste 220
Trinity, FL 34655-4406
Phone
(727) 645-6900
Fax
(727) 372-8989
NPI assigned
May 16, 2006
Last updated
Mar 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME81728 FL Primary

Addresses

Primary practice location

2044 Trinity Oaks Blvd Ste 220
Trinity, FL 34655-4406

Mailing address

2044 Trinity Oaks Blvd Ste 220
Trinity, FL 34655-4406
Phone (727) 645-6900

Other identifiers 2

IdentifierTypeStateIssuer
080188908OtherFLRAILROAD MEDICARE NUMBER
265654000MedicaidFL

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
I20060111000312 FL Practitioner - Family Practice 2567485063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Grumman Rd W
Bethpage, NY 11714-5029

2044 Trinity Oaks Blvd
Suite 220
Trinity, FL 34655-4406

300 Park Place Blvd
Suite 170
Clearwater, FL 33759-4931

8637 Fredericksburg Rd
Suite 360
San Antonio, TX 78240-1219

PO Box
Suite 10744
Clearwater, FL 33757-8744

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Family Medicine Current Accepting new patients
Baycare Medical Group, Inc Family Medicine CurrentSince Dec 9, 2002 Accepting new patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Dec 9, 2002 Accepting new patients
Baycare Urgent Care, LLC Family Medicine Past Accepting new patients
Samg Inc PastSince Sep 11, 2022 Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

1306 Seven Springs Blvd
New Prt Rchy, FL 34655
Phone (727) 372-3143

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

2044 Trinity Oaks Blvd
Ste 125
Trinity, FL 34655
Phone (727) 230-9508

Organizations & group practices 5

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1265484414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 TRINITY OAKS BLVD STE 220",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554406",
            "telephone_number": "727-645-6900",
            "fax_number": "727-372-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 TRINITY OAKS BLVD STE 220",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554406",
            "telephone_number": "727-645-6900",
            "fax_number": "727-372-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEIRA",
        "first_name": "LEONARDO",
        "middle_name": "MARTINS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME81728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "080188908",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265654000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.