Individual provider Active NPI

Liliane Kovacs Lesmes, MD FAAP

  • Pediatrics Physician
  • Mount Dora, FL
National Provider Identifier
1750489654
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME60027 Issued in FL
Practice address
4880 N Highway 19a
Mount Dora, FL 32757-2018
Phone
(352) 589-8111
Fax
(352) 589-8495
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME60027 FL Primary

Addresses

Primary practice location

4880 N Highway 19a
Mount Dora, FL 32757-2018

Mailing address

225 Shiloh Cove
Heathrow, FL 32746
Phone (407) 833-9481

Other identifiers 1

IdentifierTypeStateIssuer
262142800MedicaidFL

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
I20250902003362 FL Practitioner - Pediatric Medicine 5496256257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4880 N Hwy 19a
Mount Dora, FL 32757-2018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME60027FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Pediatrics P. a. Pediatrics CurrentSince Aug 4, 2025 Accepting new patients

Locations

4880 N Highway 19A
Ste 200
Mount Dora, FL 32757
Phone (352) 589-8111

4880 N Highway 19A
Mount Dora, FL 32757
Phone (352) 357-8810

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lake Pediatrics P. aMount Dora, FL, CCN 108915 Rural health clinic W-2 Managing Employee Jun 3, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1750489654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SHILOH COVE",
            "city": "HEATHROW",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "407-833-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 N HIGHWAY 19A",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572018",
            "telephone_number": "352-589-8111",
            "fax_number": "352-589-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESMES",
        "first_name": "LILIANE",
        "middle_name": "KOVACS",
        "credential": "MD FAAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME60027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262142800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.