Active NPI
Robert T Meade, M.D.
- Internal Medicine Physician
- Leesburg, FL
National Provider Identifier
1275527616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 22455
- Practice address
- 511 Medical Plaza Dr
Suite 101
Leesburg, FL 34748-7326 - Phone
- (352) 728-6808
- Fax
- (352) 728-1751
- NPI assigned
- Aug 31, 2005
- Last updated
- May 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME 22455 | FL | Primary |
| Nephrology Physician | 207RN0300X | ME 22455 | FL |
Addresses
Primary practice location
511 Medical Plaza Dr
Suite 101
Leesburg, FL 34748-7326
Mailing address
511 Medical Plaza Dr
Suite 101
Leesburg, FL 34748-7326
Phone (352) 728-6808
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058676500 | Medicaid | FL | |
| 17374 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 22455 | FL | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1275527616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 MEDICAL PLAZA DR",
"address_2": "SUITE 101",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487326",
"telephone_number": "352-728-6808",
"fax_number": "352-728-1751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 MEDICAL PLAZA DR",
"address_2": "SUITE 101",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487326",
"telephone_number": "352-728-6808",
"fax_number": "352-728-1751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADE",
"first_name": "ROBERT",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 22455",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME 22455",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "058676500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "17374",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.