Leonard Arthur Roudner, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME 28669 Issued in FL

Practice address

550 Biltmore Way
Suite 890
Coral Gables, FL 33134-5730

Phone

(305) 444-8585

Fax

(305) 567-1519

NPI assigned

May 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Leonard a. Roudner, M.D., F.a.C.S., P.a.

  • Plastic and Reconstructive Surgery Physician
  • Coral Gables, FL
  • NPI 1861640179
  NPD (past) Authorized official
• Tal T Roudner MD PA

  • Plastic and Reconstructive Surgery Physician
  • Coral Gables, FL
  • NPI 1588818728
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790993525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 BILTMORE WAY",
            "address_2": "SUITE 890",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345730",
            "telephone_number": "305-444-8585",
            "fax_number": "305-567-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BILTMORE WAY",
            "address_2": "SUITE 890",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345730",
            "telephone_number": "305-444-8585",
            "fax_number": "305-567-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUDNER",
        "first_name": "LEONARD",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME 28669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily S Rosenthal, LCSW
• Melissa Roses, PTA
• Siavash Rostami, DPM
• Eugenio M Rothe, MD
• Robert Jeremy Rothrock, MD
• Tal Teddy Roudner, M.D
• Zohra Rouzani Germoso, FNP
• Jennifer L Rowntree, ARNP, DNP
• Milantia Roy, MD
• Royal Health Center

• Plastic and Reconstructive Surgery Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.