Individual provider Active NPI

Carlos A Leon, MD

  • Gastroenterology Physician
  • Atlantis, FL
National Provider Identifier
1982694030
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME90124 Issued in FL
Practice address
160 JFK Dr
Ste 102
Atlantis, FL 33462-6632
Phone
(561) 439-0961
Fax
(561) 439-0905
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME90124 FL Primary

Addresses

Primary practice location

160 JFK Dr
Ste 102
Atlantis, FL 33462-6632

Mailing address

160 JFK Dr
Ste 102
Atlantis, FL 33462-6632
Phone (561) 439-0961

Other identifiers 1

IdentifierTypeStateIssuer
43219OtherFLBCBS INDIVIDUAL #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CARLOS.LEON@hca4.eclinicaldirectplus.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817000797 FL Practitioner - Gastroenterology 5193798205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach General Surgery LLCGroup PAC ID 1456455021, 69 clinicians

Practice addresses (Care Compare)

160 John F Kennedy Dr
Suite 102
Atlantis, FL 33462-6604
Phone (561) 439-0961

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy23
Upper gastrointestinal (GI) endoscopy for acid reflux23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90124FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach General Surgery LLC CurrentSince Aug 1, 2010 Accepting new patients
Gulf Coast Hma Physician Management LLC Gastroenterology Past Accepting new patients
JFK Internal Medicine Faculty Practice, LLC Past Accepting new patients
Palms West Surgery Center LTD PastSince Sep 1, 2022 Accepting new patients
Palm Beach General Surgery LLC Past Accepting new patients

Locations

160 John F Kennedy Dr
Ste 102
Lake Worth, FL 33462
Phone (561) 439-0961

12953 Palms West Dr
Ste 201
Loxahatchee, FL 33470
Phone (561) 790-2111

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

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

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1982694030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 JFK DR",
            "address_2": "STE 102",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626632",
            "telephone_number": "561-439-0961",
            "fax_number": "561-439-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 JFK DR",
            "address_2": "STE 102",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626632",
            "telephone_number": "561-439-0961",
            "fax_number": "561-439-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME90124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL #",
            "identifier": "43219",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CARLOS.LEON@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "160 JFK Dr",
            "address_2": "STE 102",
            "city": "Atlantis",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334626632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.