Organization provider

LEESBURG REGIONAL MEDICAL CENTER PHYSICIAN SERVICES LLC

Emergency Medicine Physician Neurology Physician Surgery Physician Medicare enrolled

LEESBURG REGIONAL MEDICAL CENTER PHYSICIAN SERVICES LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104063114, based in Leesburg, FL. The organization lists 3 taxonomy classifications, with Emergency Medicine Physician recorded as primary.

Getting there

The practice address on file is 600 E DIXIE AVE, Leesburg, FL 34748. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

600 E DIXIE AVE, Leesburg, FL 34748 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ME102387 FL Neurology Physician
ME101492 FL Surgery Physician
ME062340 FL Surgery Physician

This provider holds licence ME102387 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
8426107327

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Emergency Medicine covers

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. NUCC Health Care Provider Taxonomy, code 207P00000X
Allopathic & Osteopathic Physicians Emergency Medicine

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207P00000X Emergency Medicine Physician primary
2084N0400X Neurology Physician Neurology ME102387 FL
208600000X Surgery Physician ME101492 FL
208600000X Surgery Physician ME062340 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104063114 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJan 13, 2009
Last updatedNov 21, 2024
StatusActive
Practice address 600 E DIXIE AVE
Leesburg, FL 34748
(523) 594-0827
Fax (352) 323-5039
This record was updated on Nov 21, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1104063114 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 0 6 3 1 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 0 6 6 1 2

Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104063114?
NPI 1104063114 is the National Provider Identifier assigned to LEESBURG REGIONAL MEDICAL CENTER PHYSICIAN SERVICES LLC in Leesburg, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Emergency Medicine Physician cover?
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care…
How do I contact LEESBURG REGIONAL MEDICAL CENTER PHYSICIAN SERVICES LLC?
The phone number on file with NPPES is (523) 594-0827, last updated Nov 21, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does LEESBURG REGIONAL MEDICAL CENTER PHYSICIAN SERVICES LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104063114 a valid number?
Yes. 1104063114 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.