Individual provider Active NPI

Marcus Michael Kessler, MD

  • Nuclear Radiology Physician
  • Leesburg, FL
National Provider Identifier
1639354798
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
ME 111656 Issued in FL
Practice address
801 E Dixie Ave Ste 104
Leesburg, FL 34748
Phone
(352) 787-5858
Fax
(352) 787-4655
NPI assigned
Jan 8, 2008
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X ME 111656 FL
Nuclear Radiology Physician 2085N0904X ME 111656 FL Primary
Diagnostic Radiology Physician 2085R0202X ME 111656 FL

Addresses

Primary practice location

801 E Dixie Ave Ste 104
Leesburg, FL 34748

Mailing address

801 E Dixie Ave Ste 104
Leesburg, FL 34748-7601
Phone (352) 365-2583

Other practice location 1

1400 N US Highway 441 Ste 510
The Villages, FL 32159-8983
Phone (352) 787-5858

Other practice location 2

910 Old Camp Rd Ste 120
The Villages, FL 32162-5605
Phone (352) 787-5858

Other practice location 3

8801 SE 165th Mulberry Ln
The Villages, FL 32162-5887
Phone (352) 787-5858

Other practice location 4

340 Heald Way Ste 140
The Villages, FL 32163-6000
Phone (352) 787-5858

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
I20160203001604 FL Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 8426214446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 US Hwy 441 N
Suite 510
The Villages, FL 32159-8975
Phone (352) 787-5858

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.5 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 111656FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Central Florida L L C Diagnostic Radiology CurrentSince Jan 7, 2019 Accepting new patients
Lake Medical Imaging and Breast Center at the Villages LLC Diagnostic Radiology CurrentSince Jan 7, 2019 Accepting new patients
Lake Medical Imaging and Breast Center at the Villages LLC Diagnostic Radiology PastSince Jul 25, 2021 Accepting new patients
Largo Radiology Consultants Past Accepting new patients
South Bay Hospital Outpatient Diagnostic/Imaging Center Diagnostic Radiology Past Accepting new patients
Lake Medical Imaging and Breast Center at the Villages LLC Diagnostic Radiology PastSince Jun 27, 2021 Accepting new patients
Central Florida Imaging Associates Diagnostic Radiology Past Accepting new patients
Lake Medical Imaging and Breast Center at the Villages LLC Diagnostic Radiology PastSince Jul 25, 2021 Accepting new patients
Lake Medical Imaging and Breast Center at the Villages LLC Diagnostic Radiology PastSince Jun 27, 2021 Accepting new patients

Locations

734 N 3rd St
Ste 115
Leesburg, FL 34748
Phone (352) 365-2583

801 E Dixie Ave
Ste 104
Leesburg, FL 34748
Phone (352) 287-5858

1425 S US 301
Sumterville, FL 33585

1400 N US Highway 441
Ste 510
The Villages, FL 32159
Phone (352) 753-4115

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

2955 Brownwood Blvd
Ste 112
The Villages, FL 32163

340 Heald Way
Ste 140
The Villages, FL 32163

8801 SE 165th Mulberry Ln
The Villages, FL 32162

910 Old Camp Rd
Ste 120
The Villages, FL 32162

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 9

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": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1639354798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E DIXIE AVE STE 104",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487601",
            "telephone_number": "352-365-2583",
            "fax_number": "352-728-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E DIXIE AVE STE 104",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34748",
            "telephone_number": "352-787-5858",
            "fax_number": "352-787-4655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N US Highway 441 Ste 510",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321598983",
            "country_code": "US",
            "telephone_number": "352-787-5858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 Old Camp Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321625605",
            "country_code": "US",
            "telephone_number": "352-787-5858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8801 SE 165th Mulberry Ln",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321625887",
            "country_code": "US",
            "telephone_number": "352-787-5858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Heald Way Ste 140",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321636000",
            "country_code": "US",
            "telephone_number": "352-787-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "MARCUS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "FL",
            "license": "ME 111656",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "FL",
            "license": "ME 111656",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 111656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.