Individual provider Active NPI

Eze David Uche, MD

  • Cardiovascular Disease Physician
  • Leesburg, FL
National Provider Identifier
1972558146
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME73420 Issued in FL
Practice address
801 E Dixie Ave
Suite 107
Leesburg, FL 34748-7699
Phone
(352) 315-0627
Fax
(352) 315-1012
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME73420 FL Primary

Addresses

Primary practice location

801 E Dixie Ave
Suite 107
Leesburg, FL 34748-7699

Mailing address

308 W Highland Blvd
Inverness, FL 34452-4716
Phone (352) 726-8353

Other identifiers 2

IdentifierTypeStateIssuer
252133400MedicaidFL
K0208OtherGRP

Other names 1

  • Citrus Cardiology Professional name

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
I20100209000508 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4284608530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Medical College of Georgia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

801 E Dixie
Suite 107
Leesburg, FL 34748-7601
Phone (352) 315-0627

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.9 of 100Reported as individual
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Cardiology Consultants, PLLC CurrentSince Jul 10, 2014 Accepting new patients
Citrus Cardiology Consultants, PLLC Cardiovascular Disease CurrentSince Jul 10, 2014 Accepting new patients

Locations

308 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-8353

801 E Dixie Ave
Ste 107
Leesburg, FL 34748
Phone (352) 315-0627

910 Old Camp Rd
Ste 210
The Villages, FL 32162
Phone (352) 530-2256

5575 E State Road 44
Wildwood, FL 34785
Phone (352) 571-4418

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHGIAD
  • Direct secure messaging: euche563896@direct.shands.ufl.edu

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.

Hospital & facility affiliations 4

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1972558146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524716",
            "telephone_number": "352-726-8353",
            "fax_number": "352-341-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E DIXIE AVE",
            "address_2": "SUITE 107",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487699",
            "telephone_number": "352-315-0627",
            "fax_number": "352-315-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCHE",
        "first_name": "EZE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME73420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252133400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP",
            "identifier": "K0208",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CITRUS",
            "last_name": "CARDIOLOGY",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.