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MADELEIDIS LOPEZ LEON MD
NPI 1265013981
General Practice in Coral Gables, FL

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment
3990 W FLAGLER ST STE 407, CORAL GABLES, FL 33134(305) 456-3879 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2024, Oct 24, 2023, Jul 27, 2023 and 1 more (4 updates tracked since 2021).

About Madeleidis Lopez Leon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADELEIDIS LOPEZ LEON MD (NPI 1265013981) is an individual general practice provider in Coral Gables, Florida, licensed in Florida (ME163679) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265013981
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMADELEIDIS LOPEZ LEONCredential: MD
Location Address3990 W FLAGLER ST STE 407Coral Gables, FL 33134-1644
Mailing Address3990 W Flagler St Ste 407Coral Gables, FL 33134-1644 · (305) 456-3879
Phone(305) 456-3879
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 15, 2021
Last NPPES UpdateAugust 12, 20244 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1265013981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME163679
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X · License ME163679 (FL)
3990 W FLAGLER ST STE 407, Coral Gables, FL 33134
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17031 SW 62nd AveSouth Miami, FL 33143-4701 · Phone (305) 284-7761
Location 23990 W Flagler St Ste 407Coral Gables, FL 33134-1644 · Phone (305) 456-3879

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Molina Healthcare, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madeleidis Lopez Leon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486015674
PECOS Enrollment IDI20230803004115
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Madeleidis Lopez Leon reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optimum Health System LLC
Same address
Family Medicine
3990 W FLAGLER ST STE 407
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1366226144 (305) 456-3879
Sunshine Med Group, Inc
Same address
Clinic/Center
3990 W FLAGLER ST STE 406
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
NPI 1679102917 (305) 456-3879
Seasons Medical Group Of Florida PA
5.6 mi
Internal Medicine
5200 NE 2ND AVE, FL 3
Miami, FL 33137
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
NPI 1710238381 (877) 731-9299
2m1 Healthcare Inc
7.8 mi
Primary Care
623 W 63RD DR
Hialeah, FL 33012
  • Reassigned Medicare billing, Florida enrollment
NPI 1073338547 (239) 692-2398
Entrust Medical Group Inc
10 mi
General Practice
14411 COMMERCE WAY STE 300
Miami Lakes, FL 33016
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1275363236 (786) 803-8687
Oak Grove Physician Services, P.A.
12 mi
Internal Medicine
160 NW 170TH ST
North Miami Beach, FL 33169
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Oak Grove Physician Services PA
  • 119 clinicians in this Medicare group
NPI 1689446700 (305) 651-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
94 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OPTIMUM HEALTH SYSTEM LLC
Family Medicine
3990 W FLAGLER ST STE 407
CORAL GABLES, FL 33134
Miami-Dade County (305) 456-3879

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madeleidis Lopez Leon's NPI number?

The NPI number for Madeleidis Lopez Leon is 1265013981. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Madeleidis Lopez Leon located?

Madeleidis Lopez Leon practices at 3990 W Flagler St Ste 407, Coral Gables, FL 33134. The listed phone number is (305) 456-3879.

What is Madeleidis Lopez Leon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Madeleidis Lopez Leon enrolled in Medicare?

Yes. Madeleidis Lopez Leon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Madeleidis Lopez Leon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeleidis Lopez Leon reassigns Medicare benefits to 6 organizations: Optimum Health System LLC (Coral Gables, FL), Sunshine Med Group, Inc (Coral Gables, FL), Seasons Medical Group Of Florida PA (Miami, FL), 2m1 Healthcare Inc (Hialeah, FL), Entrust Medical Group Inc (Miami Lakes, FL) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madeleidis Lopez Leon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madeleidis Lopez Leon accept?

Health plans from 22 Health, Molina Healthcare and Oscar Health Maintenance Organization of Florida list Madeleidis Lopez Leon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Madeleidis Lopez Leon affiliated with any hospitals?

According to CMS data, Madeleidis Lopez Leon is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Madeleidis Lopez Leon was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.