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

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: November 01, 2026.

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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aegis Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to Aegis Medical Group LLC, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

General Practice10
Internal Medicine5
Nurse Practitioner5
Family Practice3
Clinical Social Worker1

Nearest to this location (20)

See all 24
Nicole Cardiello
Nurse Practitioner
NPI 1346845039
1801 US HIGHWAY 441 BLDG 100
Leesburg, FL 34748
(352) 460-4004
✔ PECOS✔ Accepts Medicare0.1 mi
David Levitt, MD
Internal Medicine
NPI 1679680383
8135 CENTRALIA CT STE 101
Leesburg, FL 34788
(352) 394-8060
✔ PECOS✔ Accepts Medicare1.8 mi
Sergio Mercado, MD
Family Practice
NPI 1730123902
4700 THAT ST
Leesburg, FL 34748
(352) 326-5281
✔ PECOS✔ Accepts Medicare4.6 mi
Amy Sierra, ARNP
Nurse Practitioner
NPI 1578189981
4700 THAT ST
Leesburg, FL 34748
(352) 326-5281
✔ PECOS✔ Accepts Medicare4.6 mi
Dan Boggus, MD
Family Practice
NPI 1669419248
1755 DAVID WALKER DR
Tavares, FL 32778
(352) 742-8830
✔ PECOS✔ Accepts Medicare8.3 mi
Yalieski Garcia, MD
General Practice
NPI 1427536259
785 HIGHWAY 466
Lady Lake, FL 32159
(352) 775-6428
✔ PECOS✔ Accepts Medicare9.0 mi
Donald Eagle, MD
Family Practice
NPI 1326086760
601 JENNINGS AVE
Eustis, FL 32726
(352) 357-5311
✔ PECOS✔ Accepts Medicare9.3 mi
Brian Kinsey, ARNP
Nurse Practitioner
NPI 1770035081
910 OLD CAMP RD
The Villages, FL 32162
(352) 751-3356
✔ PECOS✔ Accepts Medicare9.9 mi
Susan Roy, LCSW
Clinical Social Worker
NPI 1225451487
1400 N US HIGHWAY 441 STE 553
The Villages, FL 32159
(352) 706-7799
✔ PECOS11 mi
Fabian Turushina Montano, MD
General Practice
NPI 1326658899
18540 US HIGHWAY 441
Mount Dora, FL 32757
(352) 383-1667
✔ PECOS✔ Accepts Medicare12 mi
Cathy Eagle, MSN
Nurse Practitioner
NPI 1366729402
18450 US HIGHWAY 441
Mount Dora, FL 32757
(352) 383-1667
✔ PECOS✔ Accepts Medicare16 mi
Brendalis Davila Rolon, M.D.
General Practice
NPI 1538531975
117 W BELT AVE
Bushnell, FL 33513
(352) 568-1988
✔ PECOS✔ Accepts Medicare19 mi
Jose Estrella, M.D.
General Practice
NPI 1891926911
1475 W ORANGE BLOSSOM TRL
Apopka, FL 32712
(407) 307-1041
✔ PECOS✔ Accepts Medicare21 mi
Vimayla Gonzalez, M. D.
Internal Medicine
NPI 1598994055
3190 CITRUS TOWER BLVD STE B
Clermont, FL 34711
(352) 242-2282
✔ PECOS✔ Accepts Medicare21 mi
Gilberto Serrano Ocana, MD
General Practice
NPI 1043894421
2151 WHITE FEATHER LOOP
Oakland, FL 34787
(346) 216-6881
✔ PECOS✔ Accepts Medicare22 mi
Elder Arroyo Nieto, MD
General Practice
NPI 1134898448
3725 S HWY 27 STE 101
Clermont, FL 34711
(352) 524-2067
✔ PECOS✔ Accepts Medicare22 mi
Usman Bajwa, MD
Internal Medicine
NPI 1356839419
1630 SE 18TH ST STE 400
Ocala, FL 34471
(352) 758-2597
✔ PECOS✔ Accepts Medicare29 mi
Luis Barba, MD
General Practice
NPI 1992178750
759 HARLEY STRICKLAND BLVD
Orange City, FL 32763
(386) 200-4656
✔ PECOS✔ Accepts Medicare34 mi
Hector Marti Hernandez, MD
General Practice
NPI 1851985642
7714 E COLONIAL DR
Orlando, FL 32807
(407) 745-4581
✔ PECOS✔ Accepts Medicare38 mi
Lou Armentrout, FNP
Nurse Practitioner
NPI 1033824198
1543 ALDERSGATE DR
Kissimmee, FL 34746
(352) 406-9297
✔ PECOS✔ Accepts Medicare45 mi
See all 24 clinicians

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

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 10D1090962

Aegis Medical Group, LLC · Leesburg, FL
Active · expires Oct 21, 2028
CLIA Number10D1090962
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2026
Certificate Expiration DateOctober 21, 2028
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.

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.

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.

Is Aegis Medical Group LLC enrolled in Medicare?

Yes. Aegis Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aegis Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 5 Medicare specialties reassign their Medicare billing to Aegis Medical Group LLC. A 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 the clinician's services. The largest specialties are General Practice (10), Internal Medicine (5) and Nurse Practitioner (5). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.