Lei Gong, MD

Key facts

NPI

1497934004

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

ME144882 (FL)

Practice address

1530 Celebration Blvd Ste 101
Celebration, FL 34747-5165

Phone

(407) 566-0404

Fax

(407) 566-0411

NPI assigned

Oct 31, 2007

Sex

Male

Sole proprietor

No

Organizations & group practices 5

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.

• Adventhealth Primary Care Network Inc Family Medicine Physician · Altamonte Springs, FL · NPI 1093493637
  Medicare reassignment Care Compare group NPD FAMILY MEDICINE · FL
• Florida Hospital Medical Group Inc Family Medicine Physician · Orlando, FL · NPI 1225034234
  Medicare reassignment NPD FAMILY MEDICINE · FL
• Ability Health Services and Rehabilitation LP Rehabilitation Clinic/Center · Sanford, FL · NPI 1295279990
  Care Compare group
• Ability Health Services and Rehabilitation LP Physical Therapist · Lake Mary, FL · NPI 1447950340
  Care Compare group
• Florida Hospital Medical Group Inc Prosthetic/Orthotic Supplier · Minneola, FL · NPI 1285591545
  NPD

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Home Health and Hospice Inc Home Health Agency · Kissimmee, FL · NPI 1295553485
  Care Compare affiliation Home health agency
• Adventhealth Polk North Inc General Acute Care Hospital · Davenport, FL · NPI 1801457510
  Care Compare affiliation Hospital
• Adventist Health System-Sunbelt, Inc General Acute Care Hospital · Orlando, FL · NPI 1306938071
  Care Compare affiliation Hospital
• Adventist Health System-Sunbelt, Inc Clinical Medical Laboratory · Orlando, FL · NPI 1801569728
  Care Compare affiliation Hospital
• Pinnacle Home Care of Hillsborough, LLC. Home Health Agency · Winter Haven, FL · NPI 1245811876
  Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ability Health Services, Inc (1,249 clinicians)
Ability Health Services and Rehabilitation LP (1,260 clinicians)
Adventhealth Primary Care Network Inc (428 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pinnacle Home Care Home health agency · Winter Haven, FL · CCN 108262
• Adventhealth Home Health Home health agency · Kissimmee, FL · CCN 687400
• Adventhealth Orlando Hospital · Orlando, FL · CCN 100007
• Adventhealth Heart of Florida Hospital · Davenport, FL · CCN 100137

Medicare participation

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: leigong@agh.allscriptsdirect.net
• Direct secure messaging: lgong73929@adventhealth.direct-ci.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2020.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1497934004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 CELEBRATION BLVD STE 101",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475165",
            "telephone_number": "407-566-0404",
            "fax_number": "407-566-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 CELEBRATION BLVD STE 101",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475165",
            "telephone_number": "407-566-0404",
            "fax_number": "407-566-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONG",
        "first_name": "LEI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0069351",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME144882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

• Leenamol George
• Nicole German, APRN
• Tyler Gjesdahl, APRN, FNP-BC
• Itzel Melissa Godoy
• Golden Heart Therapy, Inc.
• Angel Rafael Gonzalez Rios, M.D.
• Daniel A Gonzalez-Morales, D.O
• Lixandra Gonzalez, M.D.
• Yvette M Gonzalez
• Goodless Dermatology, LLC

All providers in Celebration, FL · Family Medicine Physician in Florida