Individual provider Active NPI

Leon Egozi, MD

  • Surgical Oncology Physician
  • Aventura, FL
National Provider Identifier
1780649293
Registry record updated Feb 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
ME0062189 Issued in 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
Last updated
Feb 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME0062189 FL
Surgical Oncology Physician 2086X0206X ME0062189 FL Primary

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

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
I20080630000674 FL Practitioner - General Surgery 3274605662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Melanoma (skin cancer) excision11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0062189FLMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leon Egozi MD PA Surgery CurrentSince Jan 26, 2023 Accepting new patients
Robert Marriott Medical Corp Surgery Past Accepting new patients
CRH Clinic of Florida Inc Past Accepting new patients
Comprehensive Breast Care Centers Past Accepting new patients

Locations

21150 Biscayne Blvd
Ste 302
Aventura, 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

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

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, 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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676678400000",
    "number": "1780649293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT STE 335",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801247",
            "telephone_number": "305-534-2908",
            "fax_number": "305-674-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT STE 335",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801247",
            "telephone_number": "305-534-2908",
            "fax_number": "305-674-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGOZI",
        "first_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0062189",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME0062189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.