Active NPI
Mark J Leeds, DO
- Family Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1508836552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS7559
- Practice address
- 3290 NE 33Rd St
Fort Lauderdale, FL 33308-7123 - Phone
- (954) 776-6226
- Fax
- (954) 692-8120
- NPI assigned
- Jan 24, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS7559 | FL | Primary |
Addresses
Primary practice location
3290 NE 33Rd St
Fort Lauderdale, FL 33308-7123
Mailing address
3290 NE 33Rd St
Fort Lauderdale, FL 33308-7123
Phone (954) 776-6226
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1508836552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3290 NE 33RD ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333087123",
"telephone_number": "954-776-6226",
"fax_number": "954-692-8120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3290 NE 33RD ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333087123",
"telephone_number": "954-776-6226",
"fax_number": "954-692-8120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEEDS",
"first_name": "MARK",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS7559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.