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KAREL MANUEL DE LEON M.D.
NPI 1588196240
Psychiatry & Neurology - Psychiatry in Miami, FL

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
9920 SW 40TH ST, MIAMI, FL 33165(786) 360-4425(786) 360-4461 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2022, Jun 4, 2020, Mar 31, 2017 (3 updates tracked since 2017).

About Karel Manuel De Leon M.d. NPPES

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

KAREL MANUEL DE LEON M.D. (NPI 1588196240) is an individual psychiatry provider in Miami, Florida, licensed in Florida (ME155093) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1588196240
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameKAREL MANUEL DE LEONCredential: M.D.
Location Address9920 SW 40TH STMiami, FL 33165-3944
Mailing Address9920 Sw 40th StMiami, FL 33165-3944 · (786) 360-4425 · Fax (786) 360-4461
Phone(786) 360-4425
Fax(786) 360-4461
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 31, 2017
Last NPPES UpdateMay 18, 20223 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1588196240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · ME155093
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9920 SW 40TH ST, Miami, FL 33165
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Other Names 1

Former Name (1)Karel Manuel De Leon Leon

Other Identifiers 1

Other155093FL · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Karel Manuel De Leon 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 ID6800274697
PECOS Enrollment IDI20220607002450
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33165 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
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

JOSE LUIS VILARO VALDERRABANO MD
Urology
9920 SW 40TH ST
MIAMI, FL 33165
Miami-Dade County (786) 360-4425

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 Karel De Leon's NPI number?

The NPI number for Karel De Leon is 1588196240. It was assigned to this individual provider in the NPPES registry on March 31, 2017. The provider is also known as Karel Manuel De Leon Leon.

Where is Karel De Leon located?

Karel De Leon practices at 9920 SW 40th St, Miami, FL 33165. The listed phone number is (786) 360-4425.

What is Karel De Leon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Karel De Leon enrolled in Medicare?

Yes. Karel De 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.

What insurance does Karel De Leon accept?

Health plans from Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Karel De 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.

When was this NPI record last updated?

The NPPES record for Karel De Leon was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.