Active NPI
Leila M Patallo, M.D.
- Neurology Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME84982
- Practice address
- 1350 Hickory St
Melbourne, FL 32901 - Phone
- (321) 434-1771
- Fax
- (321) 434-1775
- NPI assigned
- Jul 11, 2006
- Last updated
- May 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME84982 | FL | Primary |
Addresses
Primary practice location
1350 Hickory St
Melbourne, FL 32901
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Other practice location 1
901 Village Blvd Ste 702
West Palm Beach, FL 33409-1947
Phone (561) 437-0589
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134295178 | Other | FL | FIRST HEALTH |
| 134295178 | Other | FL | UNITED HEALTHCARE |
| 7735972 | Other | FL | CIGNA |
| 7835391 | Other | FL | AETNA PROVIDER NUMBER |
| 126747500 | Medicaid | FL | |
| 3098980 | Other | FL | GHI |
| 3956438 | Other | FL | AETNA GROUP NUMBER |
| P01361854 | Other | FL | HF RR MEDICARE |
| 134295171 | Other | FL | TRICARE SOUTH GROUP # |
| 13868 | Other | FL | BLUE CROSS BLUE SHIELD |
| DD8925 | Other | FL | PALMETTO GBA GROUP # |
| 134295178 | Other | FL | HEALTH FIRST |
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
- Neurology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Tenet Florida Physician Services LLC | Current | Accepting new patients | |
| Tenet Florida Physician Services, LLC | Current | Accepting new patients | |
| Health First Medical Group, LLC | Neurology | Current | Accepting new patients |
| Neurophysiology Center P.a. | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231
901 Village Blvd
Ste 702
West Palm Beach, FL 33409
Phone (561) 437-0589
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Jupiter, FL
- NPI 1396992475
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
dba JMC Community Care
- Pediatric Surgery Physician
- Jupiter, FL
- NPI 1093344376
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
-
- Specialist
- Brandon, FL
- NPI 1609995489
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1346275948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HICKORY ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32901",
"telephone_number": "321-434-1771",
"fax_number": "321-434-1775"
}
],
"practiceLocations": [
{
"address_1": "901 Village Blvd Ste 702",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334091947",
"country_code": "US",
"telephone_number": "561-437-0589",
"fax_number": "561-498-0320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATALLO",
"first_name": "LEILA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME84982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "134295178",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "134295178",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7735972",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "7835391",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126747500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "3098980",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GROUP NUMBER",
"identifier": "3956438",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HF RR MEDICARE",
"identifier": "P01361854",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE SOUTH GROUP #",
"identifier": "134295171",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "13868",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA GROUP #",
"identifier": "DD8925",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST",
"identifier": "134295178",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.