Individual provider Active NPI

Larry D Foster, MD

  • Family Medicine Physician
  • Leesburg, FL
National Provider Identifier
1477559060
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME45638 Issued in FL
Practice address
802 E Dixie Ave
Leesburg, FL 34748-6014
Phone
(352) 787-1324
Fax
(352) 365-1003
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME45638 FL Primary

Addresses

Primary practice location

802 E Dixie Ave
Leesburg, FL 34748-6014

Mailing address

802 E Dixie Ave
Leesburg, FL 34748-6014
Phone (352) 787-1324

Other identifiers 7

IdentifierTypeStateIssuer
695956OtherTUFTS
02926OtherFLBCBS
593516436003OtherTRICARE
P00397535OtherRR GBA MEDICARE
773114OtherMAILHANDLERS
593516436OtherMEDICAL MUTUAL
7194953OtherMAMSI

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
I20070120000072 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 6406759539 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Leesburg Family Medicine PastSince Mar 16, 2002 Accepting new patients
Central Florida Ultrasonics, Inc Past Accepting new patients
Florida Heart & Vascular Multi Specialty Group, PA Family Medicine Past Accepting new patients

Locations

802 E Dixie Ave
Leesburg, FL 34748
Phone (352) 787-1324

511 Medical Plaza Dr
Ste 101
Leesburg, FL 34748

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

201 Lagrande Blvd
The Villages, FL 32159
Phone (352) 753-0606

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1477559060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486014",
            "telephone_number": "352-787-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486014",
            "telephone_number": "352-787-1324",
            "fax_number": "352-365-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "LARRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME45638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "695956",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02926",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "593516436003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR GBA MEDICARE",
            "identifier": "P00397535",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAILHANDLERS",
            "identifier": "773114",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "593516436",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "7194953",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.