Individual provider Active NPI

Leonardo M Allende, MD

  • Family Medicine Physician
  • Doral, FL
National Provider Identifier
1922079573
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME27841 Issued in FL
Practice address
4055 NW 97TH Ave Ste 100
Doral, FL 33178-2911
Phone
(786) 801-1168
Fax
(786) 801-1176
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME27841 FL
Family Medicine Physician 207Q00000X ME27841 FL Primary

Addresses

Primary practice location

4055 NW 97TH Ave Ste 100
Doral, FL 33178-2911

Mailing address

4055 NW 97TH Ave Ste 100
Doral, FL 33178-2911
Phone (786) 801-1168

Other identifiers 2

IdentifierTypeStateIssuer
056752300MedicaidFL
25024OtherFLB/S FL & HEALTH OPTIONS

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
I20110411000261 FL Practitioner - Family PracticePractitioner - Anesthesiology 5092999433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Anesthesiology
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Med Practice LLCGroup PAC ID 0547548356, 2 clinicians

Practice addresses (Care Compare)

4055 NW 97TH Ave
Suite 100
Doral, FL 33178-2911
Phone (786) 801-1168

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Anesthesia Specialists LLC Anesthesiology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1922079573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 NW 97TH AVE STE 100",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782911",
            "telephone_number": "786-801-1168",
            "fax_number": "786-801-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 NW 97TH AVE STE 100",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782911",
            "telephone_number": "786-801-1168",
            "fax_number": "786-801-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLENDE",
        "first_name": "LEONARDO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME27841",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME27841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056752300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/S FL & HEALTH OPTIONS",
            "identifier": "25024",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.