Individual provider Active NPI

Leo J Seigel

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1700991460
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME46582 Issued in FL
Practice address
4725 N Federal Hwy
Cancer Center
Ft Lauderdale, FL 33308-4603
Phone
(954) 267-7700
Fax
(954) 267-7799
NPI assigned
Aug 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Internal Medicine Physician 207R00000X ME46582 FL Primary

Addresses

Primary practice location

4725 N Federal Hwy
Cancer Center
Ft Lauderdale, FL 33308-4603

Mailing address

4725 N Federal Hwy
Cancer Center
Ft Lauderdale, FL 33308-4603
Phone (954) 267-7700

Other identifiers 1

IdentifierTypeStateIssuer
044588600MedicaidFL

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
I20081103000652 FL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7315006533 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME46582FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital, Inc CurrentSince Oct 1, 1998 Accepting new patients
Holy Cross Hospital Inc Internal Medicine CurrentSince Oct 1, 1998 Accepting new patients

Locations

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

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, 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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700991460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 N FEDERAL HWY",
            "address_2": "CANCER CENTER",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084603",
            "telephone_number": "954-267-7700",
            "fax_number": "954-267-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 N FEDERAL HWY",
            "address_2": "CANCER CENTER",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084603",
            "telephone_number": "954-267-7700",
            "fax_number": "954-267-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIGEL",
        "first_name": "LEO",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME46582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044588600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.