Active NPI
Leonard James Waldenberger, M.D.
- Internal Medicine Physician
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME56839
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09721 | Other | FL | INDIVIDUAL PROVIDER BCBS |
| 99039 | Other | FL | GROUP BCBS NUMBER |
| 0051237719 | Medicaid | GA | |
| 061917500 | Medicaid | FL | |
| P00625813 | Other | FL | RR 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
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 Inc
Practice addresses (Care Compare)
5103 Cold Harbor Dr
Tallahassee, FL 32312-4148
Phone (850) 270-2159
Hospital & facility affiliations
- Centerwell Home Health
- NHC Homecare
- Amedisys Home Health
- Concierge Home Care
- Enhabit Home Health
- HCA Florida Capital Hospital
- Tallahassee Memorial Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Regional Healthcare LLC | Internal Medicine | Current | 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
- 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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Tallahassee, FL
- NPI 1417127499
-
- Internal Medicine Physician
- Tallahassee, FL
- NPI 1518968551
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tallahassee, FL
- NPI 1982634101
-
- Home Health Agency
- Tallahassee, FL
- NPI 1629129937
-
- Home Health Agency
- Blountstown, FL
- NPI 1528283777
-
- Home Health Agency
- Tallahassee, FL
- NPI 1285237289
-
- Home Health Agency
- Tallahassee, FL
- NPI 1730888488
-
- Home Health Agency
- Crawfordville, FL
- NPI 1417987140
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1790732303
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.