Individual provider Active NPI

Lloyd Leiva, M.D.

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1760489983
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME80769 Issued in FL
Practice address
3904 Cortez Rd W
Bradenton, FL 34210-3111
Phone
(941) 345-1943
Fax
(941) 345-1944
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME80769 FL
Internal Medicine Physician 207R00000X ME80769 FL Primary

Addresses

Primary practice location

3904 Cortez Rd W
Bradenton, FL 34210-3111

Mailing address

3904 Cortez Rd W
Bradenton, FL 34210-3111
Phone (941) 345-1943

Other identifiers 2

IdentifierTypeStateIssuer
259786100MedicaidFL
35977OtherFLFLORIDA BCBS

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
I20091007000390 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2769528686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optimum Point of Care Physicians Group LLCGroup PAC ID 0941560759, 2 clinicians

Practice addresses (Care Compare)

3904 Cortez Rd W
Bradenton, FL 34210-3203
Phone 9413451943129

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Point of Care Physicians Group, LLC Internal Medicine CurrentSince Oct 5, 2017 Accepting new patients
Healthcare America Medical Group, Inc. Internal Medicine Past Accepting new patients
Florida Medical Specialists LLC Internal Medicine Past Accepting new patients
HPP Physicians LLC Internal Medicine PastSince Jul 16, 2023 Accepting new patients

Locations

3904 Cortez Rd W
Bradenton, FL 34210
Phone (941) 345-1943

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJFABD

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.

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1760489983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103111",
            "telephone_number": "941-345-1943",
            "fax_number": "941-345-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103111",
            "telephone_number": "941-345-1943",
            "fax_number": "941-345-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIVA",
        "first_name": "LLOYD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME80769",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259786100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BCBS",
            "identifier": "35977",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.