Individual provider Active NPI

Sarah Bou Nader, M.D

  • General Practice Physician
  • Leesburg, FL
National Provider Identifier
1356907687
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME156843 Issued in FL
Practice address
1801 US Highway 441
Leesburg, FL 34748-2545
Phone
(352) 460-4004
Fax
(352) 460-4003
NPI assigned
May 13, 2019
Last updated
Dec 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X ME156843 FL Primary

Addresses

Primary practice location

1801 US Highway 441
Leesburg, FL 34748-2545

Mailing address

1801 US Highway 441
Leesburg, FL 34748-2545
Phone (352) 460-4004

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
I20220815002077 FL Practitioner - Family Practice 4385971274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Specialists GroupGroup PAC ID 0345584835, 66 clinicians

Practice addresses (Care Compare)

203 N Marion St
FL 2
Tampa, FL 33602-4914
Phone (813) 428-6904

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists Group CurrentSince Feb 1, 2026 Accepting new patients
Lakeview Healthcare System, LLC CurrentSince Sep 1, 2022 Accepting new patients
Lakeview Healthcare System, LLC CurrentSince Sep 1, 2022 Accepting new patients
Inpatient Specialists Group CurrentSince Feb 1, 2026 Accepting new patients

Locations

1801 US Highway 441
Bldg 100
Leesburg, FL 34748
Phone (352) 314-1989

18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755

10250 SE 167th Place Rd
Unit 5
Summerfield, FL 34491
Phone (352) 307-9225

203 N Marion St
Tampa, FL 33602
Phone (813) 474-9804

203 N Marion St
Fl 2
Tampa, FL 33602
Phone (813) 428-6904

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1356907687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482545",
            "telephone_number": "352-460-4004",
            "fax_number": "352-460-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482545",
            "telephone_number": "352-460-4004",
            "fax_number": "352-460-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOU NADER",
        "first_name": "SARAH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME156843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.