Keila Thamar Tosado de Leon, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN483 Issued in FL

Practice address

4729 US Highway 98 S Ste 201
Lakeland, FL 33812-4336

Phone

(863) 646-9663

Fax

(863) 646-9664

NPI assigned

Sep 15, 2008

Last updated

Jun 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical Home Alliance, LLCGroup PAC ID 6406096536, 60 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Medical Home Alliance LLC

  • Internal Medicine Physician
  • Davenport, FL
  • NPI 1740527811
  Medicare reassignment Care Compare group NPD
• Medical Home Alliance LLC

  dba IMA Medical Group - South Lakeland

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1134896004
  NPD
• Medical Home Alliance LLC

  dba IMA Winter Haven Dispensary

  • Non-Pharmacy Dispensing Site
  • Winter Haven, FL
  • NPI 1033648233
  NPD (past)
• Medical Home Alliance LLC

  dba IMA South Lakeland Dispensary

  • Non-Pharmacy Dispensing Site
  • Lakeland, FL
  • NPI 1386173573
  NPD (past)
• Premier Care Professionals, LLC

  • Medical Specialty Clinic/Center
  • Lakeland, FL
  • NPI 1700831161
  NPD (past)

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1881843860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 WESTWOOD BLVD STE 475",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216027",
            "telephone_number": "407-845-0330",
            "fax_number": "888-972-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 US HIGHWAY 98 S STE 201",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124336",
            "telephone_number": "863-646-9663",
            "fax_number": "863-646-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOSADO DE LEON",
        "first_name": "KEILA",
        "middle_name": "THAMAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ACN483",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17316",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICINE DOCTOR LIC",
            "identifier": "ACN483",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Torres, MS, PA-C
• Lizfrances M Torres
• Maylin Leonor Torres, MASSAGE THERAPIST
• Valerie Esmeralda Torres, BEHAVIOR TECHNICIAN
• Bernard Mark Tortorice, MD
• Total Communication Therapy, LLC
• Total Mind Solutions of Florida
• Total Pediatric Healthcareii
• Total Perfection Hair Design LLC
• Total Rehab, Inc

• General Practice Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.

Verify at the official NPI Registry.