Individual provider Active NPI

Leonard James Waldenberger, M.D.

  • Internal Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1477556728
Registry record updated Aug 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME56839 Issued in FL
Practice address
2770 Capital Medical Blvd
Ste 200
Tallahassee, FL 32308-8417
Phone
(850) 878-8235
Fax
(850) 219-2375
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME56839 FL Primary

Addresses

Primary practice location

2770 Capital Medical Blvd
Ste 200
Tallahassee, FL 32308-8417

Mailing address

2770 Capital Medical Blvd
Ste 200
Tallahassee, FL 32308-8417
Phone (850) 878-8235

Other identifiers 5

IdentifierTypeStateIssuer
09721OtherFLINDIVIDUAL PROVIDER BCBS
99039OtherFLGROUP BCBS NUMBER
0051237719MedicaidGA
061917500MedicaidFL
P00625813OtherFLRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Wisconsin School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

5103 Cold Harbor Dr
Tallahassee, FL 32312-4148
Phone (850) 270-2159

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Tallahassee, FL, CCN 107200
  • NHC Homecare Home health agency, Crawfordville, FL, CCN 107407
  • Amedisys Home Health Home health agency, Tallahassee, FL, CCN 107151
  • Concierge Home Care Home health agency, Tallahassee, FL, CCN 687141
  • Enhabit Home Health Home health agency, Blountstown, FL, CCN 109153
  • HCA Florida Capital Hospital Hospital, Tallahassee, FL, CCN 100254
  • Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Regional Healthcare LLC Internal Medicine CurrentSince Feb 1, 2008 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Capital Regional Healthcare Internal Medicine Past Accepting new patients

Locations

2382 Crawfordville Hwy
Ste D
Crawfordville, FL 32327
Phone (850) 877-0320

1910 Hillbrooke Trl
Ste 2
Tallahassee, FL 32311
Phone (850) 878-2637

2626 Care Dr
Ste 200
Tallahassee, FL 32308
Phone (850) 219-5830

2770 Capital Medical Blvd
Ste 200
Tallahassee, FL 32308
Phone (850) 671-5700

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: leonard.waldenberger@hca5.eclinicaldirectplus.com

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.

Hospital & facility affiliations 8

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471651200000",
    "number": "1477556728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 CAPITAL MEDICAL BLVD",
            "address_2": "STE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088417",
            "telephone_number": "850-878-8235",
            "fax_number": "850-219-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CAPITAL MEDICAL BLVD",
            "address_2": "STE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088417",
            "telephone_number": "850-878-8235",
            "fax_number": "850-219-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDENBERGER",
        "first_name": "LEONARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME56839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER BCBS",
            "identifier": "09721",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS NUMBER",
            "identifier": "99039",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051237719",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061917500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00625813",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.