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RAUL LEON
NPI 1891201323
Nurse Practitioner - Family in Miami, FL

Active since December 20, 2017PECOS Enrolled
1501 NW 36TH ST, MIAMI, FL 33142(786) 378-8200(305) 907-5871 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2024, Mar 4, 2021, Oct 23, 2019 and 1 more (4 updates tracked since 2017).

About Raul Leon NPPES

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

RAUL LEON (NPI 1891201323) is an individual family provider in Miami, Florida, licensed in Florida (9287516) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891201323
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRAUL LEON
Location Address1501 NW 36TH STMiami, FL 33142-5559
Mailing Address13228 Nw 11th StMiami, FL 33182-2247 · (786) 201-4296
Phone(786) 378-8200
Fax(305) 907-5871
Sole ProprietorYes
Enumeration DateDecember 20, 2017
Last NPPES UpdateApril 10, 20244 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1891201323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 9287516
1501 NW 36TH ST, Miami, FL 33142
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raul Leon 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 Reassignment

Medicare enrollment records show Raul Leon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centers Of Medical Excellence, LLC
7.0 mi
General Practice
1738 W 49TH ST STE 10
Hialeah, FL 33012
  • Reassigned Medicare billing, Florida enrollment
  • 32 clinicians in this Medicare group
NPI 1073196986 (305) 698-8432

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33142 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 4

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

YANET PEREZ PRIETO
Nurse Practitioner (Family)
1501 NW 36TH ST
MIAMI, FL 33142
Miami-Dade County (786) 378-8200
MICHAEL FREDERICK AVILES
Nurse Practitioner (Adult Health)
1501 NW 36TH ST
MIAMI, FL 33142
Miami-Dade County (786) 378-8200
COMPREHENSIVE NURSING CARE, INC
Home Health
1501 NW 36TH ST
MIAMI, FL 33142
Miami-Dade County (305) 636-9877
FLORIDA MEDICAL CENTER GROUP, INC.
General Practice
1501 NW 36TH ST
MIAMI, FL 33142
Miami-Dade County (786) 378-8200

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 Raul Leon's NPI number?

The NPI number for Raul Leon is 1891201323. It was assigned to this individual provider in the NPPES registry on December 20, 2017.

Where is Raul Leon located?

Raul Leon practices at 1501 NW 36th St, Miami, FL 33142. The listed phone number is (786) 378-8200.

What is Raul Leon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Raul Leon enrolled in Medicare?

Yes. Raul Leon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raul Leon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Leon reassigns Medicare benefits to Centers Of Medical Excellence, LLC (Hialeah, FL). The 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 Raul Leon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raul Leon accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Raul 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 Raul Leon was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.