Active NPI
Augusto R. De Leon Jr., M.D.
- Internal Medicine Physician
- Palm Coast, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0066795
- Practice address
- 20 Cypress Point Pkwy
Palm Coast, FL 32164-7528 - Phone
- (386) 586-7005
- Fax
- (844) 867-3940
- NPI assigned
- Mar 23, 2006
- Last updated
- Feb 13, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | ME0066795 | FL | |
| Internal Medicine Physician | 207R00000X | ME0066795 | FL | Primary |
Addresses
Primary practice location
20 Cypress Point Pkwy
Palm Coast, FL 32164-7528
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255265500 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | augusto.de.leon.1@29601.direct.athenahealth.com |
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
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
20 Cypress Point Pkwy
Suite 1
Palm Coast, FL 32164-7528
Phone (386) 586-7005
PO Box
Suite 1099
Melrose, FL 32666-1099
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0066795 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conviva Medical Center Management LLC | Internal Medicine | Current | Accepting new patients |
| Memorial Hospital Flagler Inc | Past | Accepting new patients |
Locations
5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
20 Cypress Point Pkwy
#1
Palm Coast, FL 32164
Phone (386) 206-5177
20 Cypress Point Pkwy
Ste A
Palm Coast, FL 32164
Phone (386) 586-7005
Interoperability endpoints
- augusto.de.leon.1@29601.direct.athenahealth.com
- augustodeleon@fhcpfl.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Conviva Care Center
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
-
dba Lake Area Physical Therapy & Aquatics
- Physical Therapist
- Melrose, FL
- NPI 1376682518
-
dba AdventHealth Palm Coast
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Palm Coast Parkway
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
-
dba AdventHealth Daytona Beach
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
dba AdventHealth Daytona Beach
- Clinical Medical Laboratory
- Daytona Beach, FL
- NPI 1104696178
Hospital
-
dba AdventHealth Palm Coast
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1982664165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263168",
"telephone_number": "305-500-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CYPRESS POINT PKWY",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321647528",
"telephone_number": "386-586-7005",
"fax_number": "844-867-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LEON",
"first_name": "AUGUSTO",
"middle_name": "R.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "FL",
"license": "ME0066795",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0066795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255265500",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "augusto.de.leon.1@29601.direct.athenahealth.com",
"affiliation": "N",
"address_1": "20 Cypress Point Pkwy",
"city": "Palm Coast",
"state": "FL",
"country_code": "US",
"postal_code": "321647528",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.