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NATHALIE LEROY MD
NPI 1811206535
Family Medicine in Miami, FL

Active since September 29, 2010PECOS EnrolledAccepts Medicare Assignment
11645 BISCAYNE BLVD STE 308, MIAMI, FL 33181(305) 538-8835(305) 994-0054 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2024, Feb 12, 2019 (2 updates tracked since 2019).

About Nathalie Leroy Md NPPES

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

NATHALIE LEROY MD (NPI 1811206535) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME108245) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1811206535
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNATHALIE LEROYCredential: MD
Location Address11645 BISCAYNE BLVD STE 308Miami, FL 33181-3139
Mailing Address11645 Biscayne Blvd Ste 207Miami, FL 33181-3138 · (305) 538-8835 · Fax (305) 994-0054
Phone(305) 538-8835
Fax(305) 994-0054
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 29, 2010
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1811206535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME108245
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11645 BISCAYNE BLVD STE 308, Miami, FL 33181
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Other Identifiers 1

Medicaid003113400FL

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

Nathalie Leroy Md 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 ID2860674462
PECOS Enrollment IDI20110302000984
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.

Areas of Expertise CMS Part B claims 3

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.

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.
53 services34 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
29 services22 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33181 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 6

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

MIAMI BEACH COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
11645 BISCAYNE BLVD STE 308
MIAMI, FL 33181
Miami-Dade County (305) 538-8835
JORDANA M RABINOWITZ PA-C
Physician Assistant (Medical)
11645 BISCAYNE BLVD STE 308
MIAMI, FL 33181
Miami-Dade County (305) 538-8835
GRACIELA FALKON DE CABABIE PA
Physician Assistant (Medical)
11645 BISCAYNE BLVD STE 308
NORTH MIAMI, FL 33181
Miami-Dade County (305) 538-8835
KATHERINE T PEICHER DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11645 BISCAYNE BLVD STE 308
NORTH MIAMI, FL 33181
Miami-Dade County (305) 538-8835
DR. GINA MARIA MCCRARY-SMITH DO
Family Medicine
11645 BISCAYNE BLVD STE 308
NORTH MIAMI, FL 33181
Miami-Dade County (055) 388-8353
MRS. MIREILLE CANGE FNP-BC
Nurse Practitioner (Family)
11645 BISCAYNE BLVD STE 308
NORTH MIAMI, FL 33181
Miami-Dade County (305) 538-8835

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 Nathalie Leroy's NPI number?

The NPI number for Nathalie Leroy is 1811206535. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Where is Nathalie Leroy located?

Nathalie Leroy practices at 11645 Biscayne Blvd Ste 308, Miami, FL 33181. The listed phone number is (305) 538-8835.

What is Nathalie Leroy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nathalie Leroy enrolled in Medicare?

Yes. Nathalie Leroy 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 Nathalie Leroy accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Nathalie Leroy 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 Nathalie Leroy was last updated on November 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.