DR. GUSTAVO GRANADA MD
NPI 1881605137
Internal Medicine in Leesburg, FL

Q: What is Gustavo Granada's NPI number?

The NPI number for Gustavo Granada is 1881605137. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Q: What is Gustavo Granada's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gustavo Granada was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since August 11, 2006PECOS Enrolled

33.66/100

CMS Quality Rating

600 E DIXIE AVE, LEESBURG, FL 34748(352) 323-5467 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Gustavo Granada Md NPPES

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

DR. GUSTAVO GRANADA MD (NPI 1881605137) is an individual internal medicine provider in Leesburg, Florida, licensed in Missouri (2001023407) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881605137

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. GUSTAVO GRANADACredential: MD

Location Address600 E DIXIE AVELeesburg, FL 34748-5925

Mailing AddressPo Box 100186Gainesville, FL 32610-0186 · (352) 265-5911 · Fax (352) 265-5606

Phone(352) 323-5467

Sole ProprietorYes

Enumeration DateAugust 11, 2006

Last NPPES UpdateJanuary 30, 2026

NPPES CertifiedJanuary 30, 2026

✔ NPI 1881605137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MO · 2001023407

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.

600 E DIXIE AVE, Leesburg, FL 34748

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Secondary Practice Locations 2

Location 1807 South BypKennett, MO 63857-3244 · Phone (573) 717-1332 · Fax (573) 717-1335

Location 217021 US Highway 441Mount Dora, FL 32757-6734 · Phone (352) 720-7999

Other Identifiers 2

Medicaid121357800FL

Medicaid205799208MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gustavo Granada Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Gustavo Granada reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Leesburg Regional Medical Center Physician Services LLC

0.1 mi

Emergency Medicine

600 E DIXIE AVE
Leesburg, FL 34748

Reassigned Medicare billing, Florida enrollment
95 clinicians in this Medicare group

NPI 1104063114 (523) 594-0827

Paragon Contracting Services LLC

435 mi

Emergency Medicine

810 SAINT VINCENTS DR
Birmingham, AL 35205

Reassigned Medicare billing, Florida enrollment
802 clinicians in this Medicare group

NPI 1225071459 (205) 939-7100

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

323 services312 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

142 services142 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

78 services78 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34748 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

33.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

16.27

Improvement Activities

Reported Quality Measures

Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis

95%20 patients

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$17.64 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$91.55 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

NANCY REEVS PA-C

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