Active NPI
Todd Larue, MD
- Family Medicine Physician
- Dade City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME56906
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063260100 | Medicaid | FL | |
| 080044518 | Other | FL | RR MEDICARE |
| P00967820 | Other | FL | RR MEDICARE - UCC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
- Legacy Healthcare Services Inc
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
- Pinnacle Home Care
- Baycare Home Care Inc
- Concierge Home Care
- Adventhealth Zephyrhills
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME56906 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohi West Medical Group II LLC | Current | Accepting new patients | |
| Florida Medical Clinic, LLC | Current | Accepting new patients | |
| Florida Medical Clinic LLC | Current | Accepting new patients | |
| Ohi West Medical Group II LLC | Current | 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.
-
- General Practice Physician
- Zephyrhills, FL
- NPI 1982381299
-
- Clinic/Center
- Zephyrhills, FL
- NPI 1821055690
-
- Pharmacy
- Zephyrhills, FL
- NPI 1669548020
-
- Durable Medical Equipment & Medical Supplies
- Wesley Chapel, FL
- NPI 1427814847
-
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1568425809
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Maynard, MA
- NPI 1831672989
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- New Port Richey, FL
- NPI 1225021124
-
- General Acute Care Hospital
- Zephyrhills, FL
- NPI 1346354677
-
- Home Health Agency
- Odessa, FL
- NPI 1801098066
-
- Home Health Agency
- Oldsmar, FL
- NPI 1689600082
-
- Home Health Agency
- Oldsmar, FL
- NPI 1902871031
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.