Active NPI
Elena Rueda-de-Leon, M.D.
- Pediatric Cardiology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- ME150332
- Practice address
- 6535 Nemours Pkwy
Orlando, FL 32827-7884 - Phone
- (407) 650-7715
- NPI assigned
- May 23, 2014
- Last updated
- Aug 3, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD0000056070 | TN | |
| Pediatric Cardiology Physician | 2080P0202X | MD0000056070 | TN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Cardiology Physician | 2080P0202X | ME150332 | FL | Primary |
Addresses
Primary practice location
6535 Nemours Pkwy
Orlando, FL 32827-7884
Mailing address
1809 Via Lago Dr
Lakeland, FL 33810-2418
Phone (561) 307-7845
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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6535 Nemours Pkwy
Orlando, FL 32827-7884
Phone (407) 567-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME150332 | FL | MD | Pediatric Cardiology Physician |
| MD0000056070 | TN | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients |
Locations
10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
841 E Oak St
Kissimmee, FL 34744
Phone (407) 847-2050
6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000
2202 State Ave
Panama City, FL 32405
Phone (850) 785-1401
2020 Daniels Rd
Ste B
Winter Garden, FL 34787
Interoperability endpoints
- eruedadeleon107196@direct.nemours.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1467864595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 VIA LAGO DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338102418",
"telephone_number": "561-307-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 NEMOURS PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277884",
"telephone_number": "407-650-7715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUEDA-DE-LEON",
"first_name": "ELENA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-23",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "MD0000056070",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "TN",
"license": "MD0000056070",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "FL",
"license": "ME150332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.