Individual provider Active NPI

Juan Ramon Lebron, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Melbourne, FL
National Provider Identifier
1487810545
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME115079 Issued in FL
Practice address
101 E Florida Ave
Melbourne, FL 32901-8301
Phone
(321) 984-4659
Fax
(321) 984-4637
NPI assigned
Jul 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME115079 FL Primary

Addresses

Primary practice location

101 E Florida Ave
Melbourne, FL 32901-8301

Mailing address

5965 S Tropical TRL
Merritt Island, FL 32952-7122
Phone (315) 373-3412

Other identifiers 2

IdentifierTypeStateIssuer
008473100MedicaidFL
010376200MedicaidFL

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
I20130417000610 FL Practitioner - Physical Medicine and Rehabilitation 2769628767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

101 E Florida Ave
Melbourne, FL 32901-8301
Phone (321) 984-4600

4270 Minton Rd
Suite 120
West Melbourne, FL 32904-9579
Phone (321) 984-2933

Hospital & facility affiliations

  • Health First Home Care Home health agency, Melbourne, FL, CCN 107233
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Sea Pines Rehab Hosp Affiliate of Encompass Health Inpatient rehabilitation facility, Melbourne, FL, CCN 103034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115079FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Juan R Lebron LLC CurrentSince Feb 25, 2013 Accepting new patients

Locations

101 E Florida Ave
Melbourne, FL 32901
Phone (321) 233-4028

Organizations & group practices 1

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 5

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1487810545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 S TROPICAL TRL",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329527122",
            "telephone_number": "315-373-3412",
            "fax_number": "321-984-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E FLORIDA AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329018301",
            "telephone_number": "321-984-4659",
            "fax_number": "321-984-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBRON",
        "first_name": "JUAN",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME115079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008473100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010376200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.