DR. LESLIE KATHERINE GARCIA RIVERA MD
NPI 1578773271
General Practice in Orlando, FL
NPI Status: Active since May 23, 2007
Contact Information
6336 W COLONIAL DR
ORLANDO, FL
ZIP 32818
Phone: (407) 259-2383
Fax: (407) 630-6884
- Individual
- Female
- Years of Experience 20
- General Practice
- Accepts Insurance
- Accepts Medicare Approved Payment
- Medicare Quality Reporting
About LESLIE GARCIA RIVERA
This page provides the complete NPI Profile along with additional information for Leslie Garcia Rivera, a primary care provider established in Orlando, Florida with a medical specialization in General Practice and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1578773271 assigned on May 2007. The practitioner's primary taxonomy code is 208D00000X with license number ACN781 (FL). The provider is registered as an individual and her NPI record was last updated May 2025.
- NPI
- 1578773271
- Provider Name
- DR. LESLIE KATHERINE GARCIA RIVERA MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6336 W COLONIAL DR ORLANDO, FL 32818
- Location Phone
- (407) 259-2383
- Location Fax
- (407) 630-6884
- Mailing Address
- 425 W COLONIAL DR STE 303 ORLANDO, FL 32804
- Mailing Phone
- (210) 630-2207
- Mailing Fax
- (407) 630-6884
- Medical School Name
- OTHER
- Graduation Year
- 2006
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-23-2007
- Last Update Date
- 05-21-2025
- Code Navigator
A primary care provider (PCP) like Leslie Garcia Rivera sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ACN781
- License State
- FL
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 15781 (PR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
ACN781 | OTHER (01) | FL | MEDICAL LICENSE |
017481100 | MEDICAID (05) | FL |
Medicare Participation & PECOS Enrollment Status
Leslie Garcia Rivera is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 9032274741
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20160519000575
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 61% | 59 |
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 |
Reviews for DR. LESLIE KATHERINE GARCIA RIVERA MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 7 | 8 | 7 | 7 | 3 | 2 | 7 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 14 | 8 | 14 | 7 | 6 | 2 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 1 + 4 + 8 + 1 + 4 + 7 + 6 + 2 + 1 + 4 + 24 = 69 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 69 = 1 | 1 |
The NPI number 1578773271 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1942252689 | FAMILY PHYSICIANS OF WINTER PARK Organization | Family Medicine | 6336 W COLONIAL DR ORLANDO, FL 32818 (407) 447-4283 |
1396792727 | DR. DAVID PRISCAL MD Individual | Family Medicine | 6336 W COLONIAL DR ORLANDO, FL 32818 (407) 219-5200 |
1083870521 | YARITZA SALGADO M.D. Individual | Internal Medicine | 6336 W COLONIAL DR ORLANDO, FL 32818 (407) 219-5200 |
1063494631 | DR. DARIUSZ GRZEGORZ MYDLARZ M.D. Individual | General Practice | 6336 W COLONIAL DR ORLANDO, FL 32818 (407) 219-5200 |
1568563187 | ORLANDO FAMILY PHYSICIANS, LLC Organization | General Practice | 6336 W COLONIAL DR ORLANDO, FL 32818 (407) 658-9687 |
1083225676 | BENJY JOSE Individual | Nurse Practitioner (Family) | 6336 W COLONIAL DR ORLANDO, FL 32818 (407) 259-2383 |
1396201018 | JAZMINE MORAN NURSE PRACTITIONER Individual | Nurse Practitioner (Family) | 6336 W COLONIAL DR ORLANDO, FL 32818 (407) 259-2383 |
1487387338 | ANABEL REYES GUERRA MD Individual | General Practice | 6336 W COLONIAL DR ORLANDO, FL 32818 (407) 259-2383 |
1639747595 | ORLANDO FAMILY PHYSICIANS, LLC Organization | General Practice | 6336 W COLONIAL DR ORLANDO, FL 32818 (407) 259-2383 |
1295530087 | MICHELE M FILS Individual | Nurse Practitioner (Family) | 6336 W COLONIAL DR ORLANDO, FL 32818 (407) 259-2383 |
1699446484 | LYNETTE CANDELARIA APRN Individual | Nurse Practitioner (Family) | 6336 W COLONIAL DR ORLANDO, FL 32818 (407) 259-2383 |
1780302760 | SAMEER NATWARLAL PATEL Individual | Nurse Practitioner (Family) | 6336 W COLONIAL DR ORLANDO, FL 32818 (407) 259-2383 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578773271, enumerated in the NPI registry as an "individual" on May 23, 2007
The provider is located at 6336 W Colonial Dr Orlando, Fl 32818 and the phone number is (407) 259-2383
The provider's speciality is General Practice with taxonomy code 208D00000X
The provider has more than 20 years of experience.
The provider might be accepting Accepts: AvMed, Florida Blue (BlueCross BlueShield FL),. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.