Individual provider Active NPI

Leonidas R Ahumada, MD

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1740241231
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME32361 Issued in FL
Practice address
11760 SW 40TH St Suite411
Miami, FL 33175-3595
Phone
(305) 269-0609
Fax
(305) 382-7117
NPI assigned
Apr 1, 2006
Last updated
May 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME32361 FL Primary

Addresses

Primary practice location

11760 SW 40TH St Suite411
Miami, FL 33175-3595

Mailing address

13245 SW 86TH Ter
Miami, FL 33183-4164
Phone (305) 269-0609

Other identifiers 1

IdentifierTypeStateIssuer
038820300MedicaidFL

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
I20090602000246 FL Practitioner - General Practice 1658421243 Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11760 SW 40 St
Suite 411
Miami, FL 33914-3595
Phone (305) 269-0609

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME32361FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leonidas Ahumada, M.D.,P.a. Surgery Past Accepting new patients

Organizations & group practices 1

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 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": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1740241231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13245 SW 86TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834164",
            "telephone_number": "305-269-0609",
            "fax_number": "305-382-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST SUITE411",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753595",
            "telephone_number": "305-269-0609",
            "fax_number": "305-382-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHUMADA",
        "first_name": "LEONIDAS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME32361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038820300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.