Active NPI
Sergio Mercado, MD
- Family Medicine Physician
- Leesburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME165262
- Practice address
- 4700 That St
Leesburg, FL 34748-9723 - Phone
- (352) 326-5281
- NPI assigned
- Jun 16, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME165262 | FL | Primary |
Addresses
Primary practice location
4700 That St
Leesburg, FL 34748-9723
Mailing address
410 Fern Dr
Leesburg, FL 34748-7008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971
4700 That St
Leesburg, FL 34748-9723
Phone (352) 326-3281
Hospital & facility affiliations
- Pinnacle Home Care of the Villages Inc
- Lake Centre Home Care, LLC
- Orlando Health South Lake Hospital
- Adventhealth Waterman
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME165262 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Family Medicine | Current | Accepting new patients |
| To Your Health of Lake County Inc | Current | Accepting new patients | |
| Aegis Medical Group LLC | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients |
Locations
4700 That St
Leesburg, FL 34748
Phone (352) 326-5281
410 Fern Dr
Leesburg, FL 34748
Phone (352) 218-8200
18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755
4685 N Highway 19A
Mount Dora, FL 32757
Phone (352) 483-0900
Dept 5777
Carol Stream, IL 60122
1302 N Main St
Sandwich, IL 60548
Phone (815) 486-8484
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBDHAD
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.
-
- Internal Medicine Physician
- Leesburg, FL
- NPI 1356769384
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Internal Medicine Physician
- Leesburg, FL
- NPI 1104017946
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
-
- Home Health Agency
- Leesburg, FL
- NPI 1649209537
-
- Home Health Agency
- The Villages, FL
- NPI 1982933321
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1730123902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 FERN DR",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 THAT ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347489723",
"telephone_number": "352-326-5281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "SERGIO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME165262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.