Individual provider Active NPI

Todd Larue, MD

  • Family Medicine Physician
  • Dade City, FL
National Provider Identifier
1912920950
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME56906 Issued in FL
Practice address
13417 US Hwy 301 S
Suite D
Dade City, FL 33525
Phone
(352) 567-8640
Fax
(813) 355-5027
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME56906 FL Primary

Addresses

Primary practice location

13417 US Hwy 301 S
Suite D
Dade City, FL 33525

Mailing address

38135 Market Square
Zephyrhills, FL 33542
Phone (813) 528-4975

Other identifiers 3

IdentifierTypeStateIssuer
063260100MedicaidFL
080044518OtherFLRR MEDICARE
P00967820OtherFLRR MEDICARE - UCC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fpdc@flmed.directbygreenway.com Health Information Exchange (HIE)

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
I20100302000642 FL Practitioner - Family Practice 9830234855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group II LLCGroup PAC ID 0648631192, 407 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

13417 US Hwy 301
Dade City, FL 33525-5446

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

38051 Market Square Dr
Zephyrhills, FL 33542-7504

38101 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 715-0195

38103 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 778-0414

38105 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 815-5380

38107 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 979-0440

38135 Market Square Dr
Zephyrhills, FL 33542-7505

6606 Stadium Dr
Zephyrhills, FL 33542-7510
Phone (813) 788-5575

Hospital & facility affiliations

  • Pinnacle Home Care Inc Home health agency, Trinity, FL, CCN 107797
  • Pinnacle Home Care Home health agency, Oldsmar, FL, CCN 108290
  • Baycare Home Care Inc Home health agency, New Port Richey, FL, CCN 107260
  • Concierge Home Care Home health agency, Odessa, FL, CCN 108428
  • Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME56906FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group II LLC CurrentSince Apr 1, 2024 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Feb 5, 1990 Accepting new patients
Florida Medical Clinic LLC CurrentSince Feb 5, 1990 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Apr 1, 2024 Accepting new patients
Florida Medical Clinic, LLC Past Accepting new patients
Arcadian Telepsychiatry Florida P.a. Past Accepting new patients

Locations

13417 US Highway 301
Ste D
Dade City, FL 33525
Phone (352) 567-8640

13417 US Highway 301
Dade City, FL 33525
Phone (352) 521-3967

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38021 Market Square Dr
Zephyrhills, FL 33542
Phone (813) 715-0374

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1912920950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQUARE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "33542",
            "telephone_number": "813-528-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13417 US HWY 301 S",
            "address_2": "SUITE D",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "33525",
            "telephone_number": "352-567-8640",
            "fax_number": "813-355-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARUE",
        "first_name": "TODD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME56906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063260100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080044518",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE - UCC",
            "identifier": "P00967820",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fpdc@flmed.directbygreenway.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "13417 US Hwy 301 S",
            "address_2": "Suite D",
            "city": "Dade City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

Verify at the official NPI Registry.