Active NPI
Leon Rawner, M.D.
- General Practice Physician
- Hallandale Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 120366
- Practice address
- 2500 E Hallandale Beach Blvd Ste 301
Hallandale Beach, FL 33009-4835 - Phone
- (954) 458-2572
- NPI assigned
- May 18, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 120366 | FL | Primary |
Addresses
Primary practice location
2500 E Hallandale Beach Blvd Ste 301
Hallandale Beach, FL 33009-4835
Mailing address
5355 Lyons Rd
Coconut Creek, FL 33073
Phone (954) 570-9595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012907800 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2500 E Hallandale Beach Blvd
Suite 301
Hallandale Beach, FL 33009-4835
Phone (954) 458-2572
Hospital & facility affiliations
- Memorial Regional Hospital
- Mount Sinai Medical Center of Florida, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120366 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Local Specialty Care, Inc | Current | Accepting new patients | |
| Mel-Bay Health Care Inc | Past | Accepting new patients | |
| Complete Local Specialty Care, Inc. | Past | Accepting new patients | |
| Complete Local Specialty Care, Inc | Past | Accepting new patients |
Locations
950 Glades Rd
Ste 4A
Boca Raton, FL 33431
Phone (561) 391-8086
5355 Lyons Rd
Coconut Creek, FL 33073
Phone (954) 570-9595
4855 W Hillsboro Blvd
Ste B2
Coconut Creek, FL 33073
Phone (954) 418-1683
2500 E Hallandale Beach Blvd
Ste 301
Hallandale Beach, FL 33009
Phone (954) 458-2572
1770 E Hallandale Beach Blvd
Ste 301
Hallandale Beach, FL 33009
Phone (954) 458-2572
3850 Hollywood Blvd
Ste 203
Hollywood, FL 33021
Phone (954) 442-1133
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CJGBDA
- https://fhir4.healow.com/fhir/r4/HAEGBA
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Hallandale Beach, FL
- NPI 1750377453
-
- Family Medicine Physician
- Coconut Creek, FL
- NPI 1538155262
-
- Family Medicine Physician
- Boca Raton, FL
- NPI 1326035312
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1407162654
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miami Beach, FL
- NPI 1912964768
-
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1700105616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5355 LYONS RD",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "33073",
"telephone_number": "954-570-9595",
"fax_number": "954-354-8151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E HALLANDALE BEACH BLVD STE 301",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094835",
"telephone_number": "954-458-2572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWNER",
"first_name": "LEON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-18",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "120366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012907800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.