Individual provider Active NPI

Leonardo Blachar

  • Obstetrics & Gynecology Physician
  • Miami Beach, FL
National Provider Identifier
1831129584
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME47527 Issued in FL
Practice address
4302 Alton Rd Ste 580
Miami Beach, FL 33140-2876
Phone
(305) 532-1989
Fax
(305) 532-8459
NPI assigned
Jul 4, 2006
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME47527 FL Primary

Addresses

Primary practice location

4302 Alton Rd Ste 580
Miami Beach, FL 33140-2876

Mailing address

4090 NW 97TH Ave Ste 200
Doral, FL 33178-2380
Phone (305) 477-7475

Other identifiers 1

IdentifierTypeStateIssuer
374545700MedicaidFL

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
I20040916000805 FL Practitioner - Obstetrics/Gynecology 8527035856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

4090 NW 97TH Ave
200 Doral Beach OB GYN LLC
Doral, FL 33178-2380
Phone (305) 477-7475

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME47527FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Aug 1, 2011 Accepting new patients

Locations

4090 NW 97th Ave
Ste 200
Doral, FL 33178
Phone (305) 477-7475

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

4302 Alton Rd
Ste 580
Miami Beach, FL 33140
Phone (305) 532-1989

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, 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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1831129584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 NW 97TH AVE STE 200",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782380",
            "telephone_number": "305-477-7475",
            "fax_number": "305-477-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 580",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402876",
            "telephone_number": "305-532-1989",
            "fax_number": "305-532-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACHAR",
        "first_name": "LEONARDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME47527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374545700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.