Individual provider Active NPI

Leroi Krammer Price, M.D.

  • Cardiovascular Disease Physician
  • Kissimmee, FL
National Provider Identifier
1477503902
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0048617 Issued in FL
Practice address
1032 Mann St
Kissimmee, FL 34741-4121
Phone
(407) 518-7277
Fax
(507) 518-7280
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0048617 FL Primary

Addresses

Primary practice location

1032 Mann St
Kissimmee, FL 34741-4121

Mailing address

1032 Mann St
Kissimmee, FL 34741-4121

Other identifiers 1

IdentifierTypeStateIssuer
044672600MedicaidFL

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
I20040429000768 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4385631456 Practice locations: Kissimmee, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0048617FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Cardiology Interpretations LLC CurrentSince Feb 16, 2019 Accepting new patients
Heart of Florida Cardiology, PA Cardiovascular Disease PastSince Jan 1, 1990 Accepting new patients
Osceola Surgical Associates LLC Past Accepting new patients

Locations

700 W Oak St
#100110
Kissimmee, FL 34741

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477503902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 MANN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 MANN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414121",
            "telephone_number": "407-518-7277",
            "fax_number": "507-518-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "LEROI",
        "middle_name": "KRAMMER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0048617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044672600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.