Individual provider Active NPI

Leoncio J Tacsa, MD

  • Hospitalist Physician
  • Teaneck, NJ
National Provider Identifier
1598702276
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
186353 Issued in NY
Practice address
12 Peabody CT
Teaneck, NJ 07666-6484
Phone
(201) 304-0021
NPI assigned
Jun 1, 2006
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME72300 FL
Internal Medicine Physician 207R00000X ME72300 FL
Hospitalist Physician 208M00000X ME72300 FL
Hospitalist Physician 208M00000X 75406 CT
Hospitalist Physician 208M00000X 186353 NY Primary

Addresses

Primary practice location

12 Peabody CT
Teaneck, NJ 07666-6484

Mailing address

12 Peabody CT
Teaneck, NJ 07666-6484
Phone (201) 304-0021

Other practice location 1

1500 N James St
Rome, NY 13440-2844
Phone (315) 744-1819

Other names 1

  • Dr. Leoncio J Tacsa-Carrasco Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, FL, CT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040803000884 NJ Practitioner - Internal MedicinePractitioner - Infectious Disease 4284605304 Reassigns benefits to 2 organizations
I20230310002446 NY Practitioner - Internal MedicinePractitioner - Hospitalist 4284605304 Reassigns benefits to 8 organizations
I20231206001530 FL Practitioner - Hospitalist 4284605304 Reassigns benefits to 2 organizations
I20241206003302 CT Practitioner - Internal Medicine 4284605304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians
United Medical Associates PCGroup PAC ID 0345144978, 229 clinicians

Practice addresses (Care Compare)

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7000

33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6622

5100 W Taft Rd
Liverpool, NY 13088-4841

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.33 of 100Reported as group
Improvement activities
40
Cost
77.32

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME72300FLMDInternal Medicine Physician
75406CTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC CurrentSince Jun 17, 2025 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Sep 28, 2024 Accepting new patients
Trinitas Physicians Practice, LLC Internal Medicine CurrentSince Oct 24, 2017 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 20, 2023 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 20, 2023 Accepting new patients
Rochester General Hospital CurrentSince Jan 17, 2023 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Apr 7, 2025 Accepting new patients
Upstate Ny Doctor of Medicine PLLC Hospitalist CurrentSince Oct 1, 2024 Accepting new patients
Rochester General Hospital Internal Medicine CurrentSince Jan 17, 2023 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine Current Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince May 7, 2024 Accepting new patients
New York Medical Physician Associates PC Internal Medicine CurrentSince May 7, 2024 Accepting new patients
United Medical Associates, P.C. CurrentSince Jun 17, 2025 Accepting new patients
Wajeeh Sana Physician PC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Oct 28, 2024 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Sep 23, 2023 Accepting new patients
St Josephs Medical PC Internal Medicine CurrentSince Jan 3, 2025 Accepting new patients
North Medical PC Internal Medicine Current Accepting new patients
Rome Memorial Hospital, Inc. Past Accepting new patients
United Health Services Hospitals, Inc. Past Accepting new patients
Leoncio Tacsa Carrasco MD PLLC Past Accepting new patients
St. Mary's Healthcare Past Accepting new patients

Locations (25 of 26)

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 577-7802

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Interoperability endpoints

  • FHIR API: https://epicproxy.et1127.epichosted.com/FHIRproxy/api/FHIR/R4/

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 9

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1598702276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PEABODY CT",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666484",
            "telephone_number": "201-304-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PEABODY CT",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666484",
            "telephone_number": "201-304-0021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N James St",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "134402844",
            "country_code": "US",
            "telephone_number": "315-744-1819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TACSA",
        "first_name": "LEONCIO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME72300",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72300",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME72300",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "75406",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "186353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEONCIO",
            "last_name": "TACSA-CARRASCO",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.