Individual provider Active NPI

Leopoldo Malvezzi, MD

  • Pediatric Surgery Physician
  • Miami, FL
National Provider Identifier
1669498952
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
ME-0078918 Issued in FL
Practice address
3200 SW 60TH CT
Suite # 201
Miami, FL 33155-4000
Phone
(305) 662-8320
Fax
(305) 665-2467
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X ME-0078918 FL Primary

Addresses

Primary practice location

3200 SW 60TH CT
Suite # 201
Miami, FL 33155-4000

Mailing address

3200 SW 60TH CT
Suite # 201
Miami, FL 33155-4000
Phone (305) 662-8320

Other identifiers 1

IdentifierTypeStateIssuer
30631200MedicaidFL

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
I20191127001609 FL Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Pediatric Medicine 6002249349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Pediatric Medicine, Thoracic Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Associates in Pediatric Surgery PAGroup PAC ID 6103844303, 4 clinicians

Practice addresses (Care Compare)

3200 SW 60TH CT
Suite 201
Miami, FL 33155-4070
Phone (305) 662-8320

Hospital & facility affiliations

  • Nicklaus Children'S Hospital Hospital, Miami, FL, CCN 103301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME-0078918FLMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Associates in Pediatric Surgery PA CurrentSince Nov 21, 2019 Accepting new patients
Nicklaus Children'S Pediatric Specialists, LLC PastSince Nov 21, 2019 Accepting new patients

Locations

3200 SW 60th Ct
Ste 201
Miami, FL 33155
Phone (305) 662-8220

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9d02172d-d861-4f2f-87b5-3b1c5ad61f32/
  • Direct secure messaging: leopoldo.malvezzi.1@240.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669498952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT",
            "address_2": "SUITE # 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554000",
            "telephone_number": "305-662-8320",
            "fax_number": "305-665-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT",
            "address_2": "SUITE # 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554000",
            "telephone_number": "305-662-8320",
            "fax_number": "305-665-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALVEZZI",
        "first_name": "LEOPOLDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "ME-0078918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30631200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.