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Individual provider Active NPI

Joselito Taruc De Leon, MD

  • General Practice Physician
  • Madison, FL
National Provider Identifier
1659843019
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1753 Issued in FL
Practice address
469 W Base St
Madison, FL 32340-2064
Phone
(850) 973-1402
Fax
(850) 973-1450
NPI assigned
Dec 26, 2018
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1753 FL Primary

Addresses

Primary practice location

469 W Base St
Madison, FL 32340-2064

Mailing address

2804 Remington Green Cir Ste 2
Tallahassee, FL 32308-1550
Phone (850) 385-4494

Other practice location 1

1 Dr. Paul Turner Drive
Pago Pago, AS 96799
Phone (684) 633-1222 ext. 549

Other practice location 2

96799 turner drive
pago pago, AS 96799-0010
Phone (684) 633-1222 ext. 603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AS, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240322003783 AS Practitioner - Internal Medicine 6204273477 Reassigns benefits to 1 organization
I20251111001658 FL Practitioner - General Practice 6204273477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

235 SW Dade St
Madison, FL 32340-2363
Phone (850) 973-1402

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4109-CASMDEmergency Medicine Physician
4109CASMDInternal Medicine Physician
ACN1753FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Samoa Medical Center Internal Medicine CurrentSince Jan 23, 2024 Accepting new patients
North Florida Medical Centers, Inc Current Accepting new patients
North Florida Medical Centers, Inc. Current Accepting new patients
North Florida Medical Centers Inc CurrentSince Nov 3, 2025 Accepting new patients
North Florida Medical Centers, Inc. Past Accepting new patients
North Florida Medical Centers Inc Past Accepting new patients

Locations

235 SW Dade St
Madison, FL 32340
Phone (850) 973-6222

469 W Base St
Madison, FL 32340
Phone (850) 253-3454

1328 Coastal Hwy
Panacea, FL 32346
Phone (850) 984-4735

2804 Remington Green Cir
Ste 2
Tallahassee, FL 32308

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1659843019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 REMINGTON GREEN CIR STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081550",
            "telephone_number": "850-385-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 W BASE ST",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402064",
            "telephone_number": "850-973-1402",
            "fax_number": "850-973-1450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Dr. Paul Turner Drive",
            "address_purpose": "LOCATION",
            "city": "Pago Pago",
            "state": "AS",
            "postal_code": "96799",
            "country_code": "US",
            "telephone_number": "684-633-1222 x549",
            "fax_number": "684-633-1839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96799 turner drive",
            "address_purpose": "LOCATION",
            "city": "pago pago",
            "state": "AS",
            "postal_code": "967990010",
            "country_code": "US",
            "telephone_number": "684-633-1222 x603",
            "fax_number": "684-633-2893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "JOSELITO",
        "middle_name": "TARUC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-26",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, FL

Sources for this page

Verify at the official NPI Registry.