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DR. GILBERT W LEUNG M.D.
NPI 1528117314
Internal Medicine in North Miami, FL

Active since January 09, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 10D0959889 · Waiver
888 NE 126TH ST, SUITE 101, NORTH MIAMI, FL 33161(305) 899-1406(305) 899-1352 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gilbert W Leung M.d. NPPES

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

DR. GILBERT W LEUNG M.D. (NPI 1528117314) is an individual internal medicine provider in North Miami, Florida, licensed in Florida (ME0039037) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 21, 2027, and is a graduate of Creighton University School Of Medicine (1980).

NPPES Registry Identity

NPI1528117314
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GILBERT W LEUNGCredential: M.D.
Location Address888 NE 126TH ST, SUITE 101North Miami, FL 33161-4964
Mailing Address888 Ne 126th St, Suite 101North Miami, FL 33161-4964 · (305) 899-1406 · Fax (305) 899-1352
Phone(305) 899-1406
Fax(305) 899-1352
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1980
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1528117314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0039037
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.
888 NE 126TH ST, North Miami, FL 33161
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified96170FL
Medicare UPIND63759FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gilbert W Leung M.d. 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 ID4688751852
PECOS Enrollment IDI20080412000098
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.

CLIA Laboratory Certificates CMS CLIA

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 10D0959889

Gilbert Leung MD PA · Miami, FL
Active · expires Apr 21, 2027
CLIA Number10D0959889
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorGilbert W. Leung MD
Laboratory Phone(305) 899-1406
Laboratory LocationGilbert Leung MD PA888 NE 126 St Suite 101, Miami, FL 33161
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
269 services119 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
233 services125 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
210 services82 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
142 services64 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
45 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33161 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%261 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

DR. MARK BRENT WICKMAN MD
Urology
888 NE 126TH ST, SUITE 100
NORTH MIAMI, FL 33161
Miami-Dade County (305) 895-3434
DR. NASIRUDDIN NAZARALLY M.D
Internal Medicine
888 NE 126TH ST, 101
NORTH MIAMI, FL 33161
Miami-Dade County (305) 899-1406
MRS. NANCY BOULOUTE ARNP
Nurse Practitioner (Family)
888 NE 126TH ST, SUITE 101
NORTH MIAMI, FL 33161
Miami-Dade County (305) 899-1406
AT TAWHEED DENTAL CORP
Clinic/Center (Dental)
888 NE 126TH ST, 203
NORTH MIAMI, FL 33161
Miami-Dade County (305) 893-0902
LEUNG HEALTH CARE INC.
Internal Medicine
888 NE 126TH ST, SUITE 101
NORTH MIAMI, FL 33161
Miami-Dade County (305) 899-1406
GILBERT LEUNG MD PA
Internal Medicine
888 NE 126TH ST, SUITE 101
NORTH MIAMI, FL 33161
Miami-Dade County (305) 899-1406
NAILA ESMAIL MBBS DPM PA
Podiatrist (Foot & Ankle Surgery)
888 NE 126TH ST, SUITE 200
NORTH MIAMI, FL 33161
Miami-Dade County (305) 892-7959

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 Gilbert Leung's NPI number?

The NPI number for Gilbert Leung is 1528117314. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Gilbert Leung located?

Gilbert Leung practices at 888 NE 126th St Suite 101, North Miami, FL 33161. The listed phone number is (305) 899-1406.

What is Gilbert Leung's specialty?

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

Is Gilbert Leung enrolled in Medicare?

Yes. Gilbert Leung 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.

Does Gilbert Leung hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0959889) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gilbert Leung accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Gilbert Leung 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.

When was this NPI record last updated?

The NPPES record for Gilbert Leung was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.