Active NPI
Henry Alexander Leder, M.D.
- Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
- Jacksonville, FL
National Provider Identifier
1275563652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
- License
- ME131627
- Practice address
- 4100 Southpoint Dr E Ste 2
Jacksonville, FL 32216-8710 - Phone
- (904) 201-9887
- Fax
- (904) 325-6434
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D64669 | MD | |
| Ophthalmology Physician | 207W00000X | ME131627 | FL | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | ME131627 | FL | |
| Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician | 207WX0108X | ME131627 | FL | Primary |
Addresses
Primary practice location
4100 Southpoint Dr E Ste 2
Jacksonville, FL 32216-8710
Mailing address
332 N Lombardy Loop
Saint Johns, FL 32259-5266
Phone (904) 201-9887
Other practice location 1
332 N Lombardy Loop
Saint Johns, FL 32259
Phone (904) 201-9887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009933300 | Medicaid | MD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Connecticut School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
332 N Lombardy Loop
Saint Johns, FL 32259-5266
Hospital & facility affiliations
- Ascension St Vincent'S Riverside
- Baptist Health Medical Center - Jacksonville
- HCA Florida Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME131627 | FL | MD | Ophthalmology Physician |
| D64669 | MD | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
- Retina Specialist (Ophthalmology) Physician
- Jacksonville, FL
- NPI 1609398916
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1275563652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 N LOMBARDY LOOP",
"city": "SAINT JOHNS",
"state": "FL",
"postal_code": "322595266",
"telephone_number": "904-201-9887",
"fax_number": "904-325-6434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 SOUTHPOINT DR E STE 2",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168710",
"telephone_number": "904-201-9887",
"fax_number": "904-325-6434"
}
],
"practiceLocations": [
{
"address_1": "332 N Lombardy Loop",
"address_purpose": "LOCATION",
"city": "Saint Johns",
"state": "FL",
"postal_code": "32259",
"country_code": "US",
"telephone_number": "904-201-9887",
"fax_number": "904-325-6434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEDER",
"first_name": "HENRY",
"middle_name": "ALEXANDER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D64669",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME131627",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "FL",
"license": "ME131627",
"primary": false
},
{
"code": "207WX0108X",
"taxonomy_group": "",
"desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
"state": "FL",
"license": "ME131627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009933300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.