NPIMap

Organization Active NPI

MD Cardiac Anesthesia and Critical Care PLLC

  • Anesthesiology Physician
  • Leesburg, FL
National Provider Identifier
1316751647
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MD CARDIAC ANESTHESIA AND CRITICAL CARE PLLC
Practice address
600 E Dixie Ave
Leesburg, FL 34748-5925
Phone
(352) 323-5762
NPI assigned
Feb 6, 2025
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Dr. Dillon Tinevez, MDNPI 1144715624
Title
Director Cardiac Anesthesia
Phone
(773) 987-2903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

600 E Dixie Ave
Leesburg, FL 34748-5925

Mailing address

3001 Castelli Blvd
Mount Dora, FL 32757-6519
Phone (773) 987-2903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250519000267 FL Part B Supplier - Clinic/Group Practice 1850819475 Receives reassigned benefits from 12 practitioners
Practice locations: Mount Dora, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1316751647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 CASTELLI BLVD",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576519",
            "telephone_number": "773-987-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485925",
            "telephone_number": "352-323-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD CARDIAC ANESTHESIA AND CRITICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "TINEVEZ",
        "authorized_official_first_name": "DILLON",
        "authorized_official_title_or_position": "DIRECTOR CARDIAC ANESTHESIA",
        "authorized_official_telephone_number": "773-987-2903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.