Individual provider Active NPI

Leonik Angelo Ahumada, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Ocala, FL
National Provider Identifier
1578558557
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME92891 Issued in FL
Practice address
3320 SW 34TH Cir
Ocala, FL 34474-3371
Phone
(352) 629-8154
Fax
(352) 629-5231
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME92891 FL Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X ME92891 FL
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X ME92891 FL

Addresses

Primary practice location

3320 SW 34TH Cir
Ocala, FL 34474-3371

Mailing address

3320 SW 34TH Cir
Ocala, FL 34474-3371
Phone (352) 629-8154

Other identifiers 1

IdentifierTypeStateIssuer
16194OtherFLBCBS

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
I20050711000476 FL Practitioner - Plastic and Reconstructive Surgery 6709812928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Miami, LM Miller School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliant Dermatology PAGroup PAC ID 9436305273, 12 clinicians

Practice addresses (Care Compare)

8620 A E County Rd
Suite 466
The Villages, FL 32162-3670
Phone (352) 399-7295

Merit-based Incentive Payment System (MIPS)

Final score
72.36 of 100Reported as group
Quality
55.49
Promoting interoperability
100
Improvement activities
40
Cost
52.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision569
Removal of skin lesions160
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME92891FLMDPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliant Dermatology PA CurrentSince Sep 1, 2016 Accepting new patients
Paddock Park Surgery Center L L C PastSince Jun 19, 2013 Accepting new patients

Locations

8620A E County Road 466
The Villages, FL 32162
Phone (352) 399-7295

8620 E County Road 466
The Villages, FL 32162
Phone (352) 399-7295

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1578558557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 SW 34TH CIR",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743371",
            "telephone_number": "352-629-8154",
            "fax_number": "352-629-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SW 34TH CIR",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743371",
            "telephone_number": "352-629-8154",
            "fax_number": "352-629-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHUMADA",
        "first_name": "LEONIK",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME92891",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "FL",
            "license": "ME92891",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME92891",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "16194",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.