Leon Egozi, MD
Individual provider Active NPI Surgical Oncology Physician · Aventura, FL
NPI 1780649293 · NPPES record last updated Feb 18, 2023
Key facts
- NPI
- 1780649293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Oncology Physician 2086X0206X
- License
- ME0062189 (FL)
- Practice address
- 21097 NE 27TH CT Ste 335
Aventura, FL 33180-1247 - Phone
- (305) 534-2908
- Fax
- (305) 674-8353
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Medical College of Wisconsin, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
21097 NE 27TH CT
Suite 335
Aventura, FL 33180-1247
Phone (305) 534-2908
Hospital & facility affiliations
- HCA Florida Aventura Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 11 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080630000674 | FL | Practitioner - General Surgery | 3274605662 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0062189 | FL | MD | Surgery Physician |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leon Egozi MD PA | Surgery | Current |
Accepting new patients |
| CRH Clinic of Florida Inc | Past | Accepting new patients | |
| Robert Marriott Medical Corp | Surgery | Past | Accepting new patients |
| Comprehensive Breast Care Centers | Past | Accepting new patients |
Locations
21150 Biscayne Blvd
Ste 302
Miami, FL 33180
Phone (305) 466-4008
21097 NE 27th Ct
Ste 335
Miami, FL 33180
Phone (305) 534-2908
4308 Alton Rd
Ste 410
Miami Beach, FL 33140
Phone (305) 672-6100
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABGBBA/Endpoint/ABGBBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME0062189 | FL | |
| Surgical Oncology Physician | 2086X0206X | ME0062189 | FL | Yes |
Addresses
Primary practice location
21097 NE 27TH CT Ste 335
Aventura, FL 33180-1247
Mailing address
21097 NE 27TH CT Ste 335
Aventura, FL 33180-1247
Phone (305) 534-2908
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372576600 | Medicaid | FL |
Other providers in Aventura, FL
- Simon M Edelstein
- Edgard Pereira, M.D., P.a.
- Dina Rachel Edrich
- Gina Egnozzi
- Erin Pearl Egozi
- Julia Ehrlich
- Brooke Eichenbaum
- Ariella Eisenberg
- Michelle Eisenfeld
- Irene Eisenstein
All providers in Aventura, FL · Surgical Oncology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.