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LEONARDO DE CASTRO DURAES MD, PHD
NPI 1720515968
Colon & Rectal Surgery in Cleveland, OH

Active since May 18, 2017PECOS EnrolledAccepts Medicare Assignment
9500 EUCLID AVE # A3, CLEVELAND, OH 44195(216) 744-6009(216) 445-8627 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2021, Dec 12, 2018, May 18, 2017 (3 updates tracked since 2017).

About Leonardo De Castro Duraes Md, Phd NPPES

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

LEONARDO DE CASTRO DURAES MD, PHD (NPI 1720515968) is an individual colon & rectal surgery provider in Cleveland, Ohio, licensed in Ohio (35.140717) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1720515968
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameLEONARDO DE CASTRO DURAESCredential: MD, PHD
Location Address9500 EUCLID AVE # A3Cleveland, OH 44195-0005
Mailing Address9500 Euclid Ave # A3Cleveland, OH 44195-0001 · (216) 744-6009
Phone(216) 744-6009
Fax(216) 445-8627
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 18, 2017
Last NPPES UpdateSeptember 10, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2021
✔ NPI 1720515968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Licenses✔ Licensed in OH · 35.140717✔ Licensed in MD · D86049
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
9500 EUCLID AVE # A3, Cleveland, OH 44195
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Corporation of Ohio.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

Leonardo De Castro Duraes Md, Phd 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 ID1456696137
PECOS Enrollment IDI20201030001488
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

3

Medicare enrollment records show Leonardo De Castro Duraes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Cleveland Clinic Foundation
Same address
General Acute Care Hospital
9500 EUCLID AVE
Cleveland, OH 44195
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
NPI 1679525919 (216) 444-2200
Johns Hopkins University
295 mi
Neurological Surgery
8600 OLD GEORGETOWN RD
Bethesda, MD 20814
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1578569240 (410) 955-5000
Johns Hopkins University
300 mi
Multi-Specialty
4102 WILSON BLVD
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 80 clinicians in this Medicare group
NPI 1790504066 (703) 462-1777

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 6

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.
198 services89 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services28 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.
29 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services17 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
17 services17 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44195 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 2

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

DR. JEREMY MICHAEL LIPMAN MD
Colon & Rectal Surgery
9500 EUCLID AVE # A3
CLEVELAND, OH 44195
Cuyahoga County (216) 444-4093
DR. ISABEL CRISTINA QUINONES PHD
Psychologist (Clinical)
9500 EUCLID AVE # A3
CLEVELAND, OH 44195
Cuyahoga County (216) 444-6149

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 Leonardo De Castro Duraes's NPI number?

The NPI number for Leonardo De Castro Duraes is 1720515968. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Where is Leonardo De Castro Duraes located?

Leonardo De Castro Duraes practices at 9500 Euclid Ave # A3, Cleveland, OH 44195. The listed phone number is (216) 744-6009.

What is Leonardo De Castro Duraes's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Leonardo De Castro Duraes enrolled in Medicare?

Yes. Leonardo De Castro Duraes 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 Leonardo De Castro Duraes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leonardo De Castro Duraes reassigns Medicare benefits to 3 organizations: The Cleveland Clinic Foundation (Cleveland, OH), Johns Hopkins University (Bethesda, MD) and Johns Hopkins University (Arlington, VA). 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 Leonardo De Castro Duraes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leonardo De Castro Duraes accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Corporation of Ohio list Leonardo De Castro Duraes 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 Leonardo De Castro Duraes affiliated with any hospitals?

According to CMS data, Leonardo De Castro Duraes is affiliated with Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Leonardo De Castro Duraes was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.