Individual provider Active NPI

Karel Manuel De Leon, M.D.

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1588196240
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME155093 Issued in FL
Practice address
9920 SW 40TH St
Miami, FL 33165-3944
Phone
(786) 360-4425
Fax
(786) 360-4461
NPI assigned
Mar 31, 2017
Last updated
May 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X ME155093 FL Primary

Addresses

Primary practice location

9920 SW 40TH St
Miami, FL 33165-3944

Mailing address

9920 SW 40TH St
Miami, FL 33165-3944
Phone (786) 360-4425

Other identifiers 1

IdentifierTypeStateIssuer
155093OtherFLLICENSE

Other names 1

  • Karel Manuel De Leon Leon Former name

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
I20220607002450 FL Practitioner - PsychiatryPractitioner - Family Practice 6800274697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2100 Ponce de Leon Blvd
Suite 1240
Coral Gables, FL 33134-5215
Phone (305) 987-1007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
D.L Dental L.L.C CurrentSince Mar 12, 2023 Accepting new patients
Psyche Harmony Group, LLC. Psychiatry CurrentSince Jun 1, 2024 Accepting new patients
Florida Doctors Group, Corp. PastSince May 7, 2023 Accepting new patients

Locations

2100 Ponce de Leon Blvd
Ste 1240
Coral Gables, FL 33134
Phone (305) 987-1007

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1588196240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653944",
            "telephone_number": "786-360-4425",
            "fax_number": "786-360-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653944",
            "telephone_number": "786-360-4425",
            "fax_number": "786-360-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "KAREL",
        "middle_name": "MANUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME155093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "155093",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREL",
            "last_name": "DE LEON LEON",
            "middle_name": "MANUEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.