AEGIS MEDICAL GROUP LLC
NPI 1356769384
Internal Medicine in Leesburg, FL

Q: What is Aegis Medical Group LLC's NPI number?

The NPI number for Aegis Medical Group LLC is 1356769384. It was assigned to this organization in the NPPES registry on April 7, 2014.

Q: What is Aegis Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 07, 2014CLIA Certified · 2 labs

410 FERN DR, LEESBURG, FL 34748(352) 218-8200(352) 435-0690 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Aegis Medical Group Llc NPPES

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

AEGIS MEDICAL GROUP LLC (NPI 1356769384) is a healthcare organization registered as an internal medicine in Leesburg, Florida and active in the NPI registry since April 2014. The organization holds 2 active CLIA laboratory certificates and lists Shahbaz A Cheema, President, as its authorized official.

NPPES Registry Identity

NPI1356769384

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameAEGIS MEDICAL GROUP LLC

Location Address410 FERN DRLeesburg, FL 34748-7008

Mailing Address410 Fern DrLeesburg, FL 34748-7008 · (352) 218-8200 · Fax (352) 435-0690

Phone(352) 218-8200

Fax(352) 435-0690

Organization SubpartNo

Authorized OfficialShahbaz A CheemaPresident · (352) 735-3755

Enumeration DateApril 7, 2014

Last NPPES UpdateMarch 6, 2024

NPPES CertifiedMarch 6, 2024

✔ NPI 1356769384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

410 FERN DR, Leesburg, FL 34748

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2164231

Aegis Medical Group · Leesburg, FL

Active · expires Mar 31, 2027

CLIA Number10D2164231

Laboratory TypePhysician Office

Certificate Effective DateApril 1, 2025

Certificate Expiration DateMarch 31, 2027

Laboratory DirectorDavid Levitt

Laboratory Phone(952) 394-8060

Laboratory LocationAegis Medical Group8135 Centralia Ct #101, Leesburg, FL 34788

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1090962

Aegis Medical Group, LLC · Leesburg, FL

Active · expires Oct 21, 2026

CLIA Number10D1090962

Laboratory TypePhysician Office

Certificate Effective DateOctober 22, 2024

Certificate Expiration DateOctober 21, 2026

Laboratory DirectorSergio Mercado

Laboratory Phone(352) 326-5281

Laboratory LocationAegis Medical Group, LLC4700 That Street, Leesburg, FL 34748

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. NANCY TODD CRISTOFORO M.D.

Internal Medicine (Cardiovascular Disease)

410 FERN DR
LEESBURG, FL 34748

Lake County (352) 218-8200

JILL TOLIA M.D.

Internal Medicine (Infectious Disease)

410 FERN DR
LEESBURG, FL 34748

Lake County (352) 218-8200

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 Aegis Medical Group LLC's NPI number?

The NPI number for Aegis Medical Group LLC is 1356769384. It was assigned to this organization in the NPPES registry on April 7, 2014.

Where is Aegis Medical Group LLC located?

Aegis Medical Group LLC is located at 410 Fern Dr, Leesburg, FL 34748. The listed phone number is (352) 218-8200.

What is Aegis Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Aegis Medical Group LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Aegis Medical Group LLC was last updated on March 6, 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.