Individual provider Active NPI

Leon Poveda, M.D.

  • Family Medicine Physician
  • Greenacres, FL
National Provider Identifier
1508801242
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0082695 Issued in FL
Practice address
5700 Lake Worth Rd Ste 211
Greenacres, FL 33463-3275
Phone
(561) 331-5155
Fax
(877) 409-1795
NPI assigned
Jun 17, 2006
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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 ME0082695 FL Primary

Addresses

Primary practice location

5700 Lake Worth Rd Ste 211
Greenacres, FL 33463-3275

Mailing address

11191 Grandview MNR
Wellington, FL 33414-8840
Phone (561) 317-2389

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
I20070830000214 FL Practitioner - Family Practice 0244323632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Atlantic UniversityGroup PAC ID 8921097171, 25 clinicians
Grace Family Medicine LLCGroup PAC ID 3274944145, 2 clinicians

Practice addresses (Care Compare)

1650 Osceola Dr
West Palm Beach, FL 33409-5038
Phone (561) 803-8880

5700 Lake Worth Rd
Suite 211
Greenacres, FL 33463-3275
Phone (561) 331-5155

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0082695FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Atlantic University Family Medicine CurrentSince Feb 6, 2021 Accepting new patients
Florida Atlantic University Current Accepting new patients
Grace Family Medicine, LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Medical Specialists of the Palm Beaches Inc PastSince Oct 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

777 Glades Rd
#71
Boca Raton, FL 33431
Phone (561) 297-4828

777 Glades Rd
Bldg AZ79
Boca Raton, FL 33431
Phone (561) 297-0502

5700 Lake Worth Rd
Ste 211
Greenacres, FL 33463
Phone (561) 331-5155

12785 Forest Hill Blvd
Ste 8E
Wellington, FL 33414
Phone (561) 331-5155

12788 Forest Hill Blvd
Ste 1004
Wellington, FL 33414
Phone (561) 246-1791

1650 Osceola Dr
West Palm Beach, FL 33409
Phone (561) 803-8880

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1508801242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11191 GRANDVIEW MNR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148840",
            "telephone_number": "561-317-2389",
            "fax_number": "561-907-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD STE 211",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633275",
            "telephone_number": "561-331-5155",
            "fax_number": "877-409-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POVEDA",
        "first_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0082695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.