Active NPI
Jason A Leader, PA
- Physician Assistant
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9101468
- Practice address
- 603 N Flamingo Rd
Suite 258
Pembroke Pines, FL 33028-1023 - Phone
- (954) 430-2343
- Fax
- (954) 438-2983
- NPI assigned
- Dec 9, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9101468 | FL | Primary |
Addresses
Primary practice location
603 N Flamingo Rd
Suite 258
Pembroke Pines, FL 33028-1023
Mailing address
603 N Flamingo Rd
Suite 258
Pembroke Pines, FL 33028-1023
Phone (954) 430-2343
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
603 N Flamingo Rd
Suite 258
Pembroke Pines, FL 33028-1013
Phone (954) 430-2343
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.82 of 100
- Quality
- 85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9101468 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Florida, Inc | Physician Assistant | Current | Accepting new patients |
| South Broward Surgical Group LLC | Past | Accepting new patients |
Locations
4200 Washington St
Hollywood, FL 33021
Phone (954) 981-6300
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
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.
-
- Gastroenterology Physician
- Pembroke Pines, FL
- NPI 1942244868
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
Physician Assistant
-
- Physical Medicine & Rehabilitation Physician
- Navarre, FL
- NPI 1174159891
-
- Specialist
- Pembroke Pines, FL
- NPI 1619015658
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital West
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1134102080
-
dba Memorial Hospital Miramar
- General Acute Care Hospital
- Miramar, FL
- NPI 1326021197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1841529591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 N FLAMINGO RD",
"address_2": "SUITE 258",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281023",
"telephone_number": "954-430-2343",
"fax_number": "954-438-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 N FLAMINGO RD",
"address_2": "SUITE 258",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281023",
"telephone_number": "954-430-2343",
"fax_number": "954-438-2983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEADER",
"first_name": "JASON",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-09",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9101468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.