Individual provider Active NPI

Mario Leandre, MD, D. PHARM

  • Anesthesiology Physician
  • Fort Pierce, FL
National Provider Identifier
1942694559
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME145188 Issued in FL
Practice address
1700 S 23Rd St
Fort Pierce, FL 34950-4803
Phone
(772) 461-4000
NPI assigned
Mar 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X ME145188 FL Primary

Addresses

Primary practice location

1700 S 23Rd St
Fort Pierce, FL 34950-4803

Mailing address

6431 Fannin St Ste MSB 5195
Houston, TX 77030-1501
Phone (713) 500-6113

Other practice location 1

6431 Fannin St Ste Msb 5195
Houston, TX 77030-1501
Phone (713) 500-6113

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
I20200805001250 FL Practitioner - Anesthesiology 6709182298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Florida State University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Medicine Services of FL LLCGroup PAC ID 9537524343, 166 clinicians

Practice addresses (Care Compare)

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (954) 939-5000

1700 S 23Rd St
Lawnwood Regional Medical Center
Fort Pierce, FL 34950-4803
Phone (772) 461-4000

Hospital & facility affiliations

  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Anesthesia Associates LLC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Jupiter Anesthesia Associates LLC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Anesthesia Medicine Services of FL, LLC Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
Jupiter Anesthesia Associates LLC Anesthesiology Current Accepting new patients
Brevard Physician Associates, PLLC Anesthesiology CurrentSince Jan 15, 2024 Accepting new patients

Locations

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-7111

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

6700 Lake Nona Blvd
Orlando, FL 32827
Phone (689) 216-8000

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: mleandre20262@jupitermedicalcenter.direct-ci.com
  • Direct secure messaging: mleandre69541@epicdirect.hf.org

Organizations & group practices 5

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 1

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": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1942694559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST STE MSB 5195",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-6113",
            "fax_number": "713-500-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S 23RD ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504803",
            "telephone_number": "772-461-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St Ste Msb 5195",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-500-6113",
            "fax_number": "713-500-0528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEANDRE",
        "first_name": "MARIO",
        "credential": "MD, D. PHARM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-20",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME145188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.