DR. LEONARD ARTHUR ROUDNER M.D.
NPI 1790993525
Surgery - Plastic and Reconstructive Surgery in Coral Gables, FL
NPI Status: Active since May 17, 2007
Contact Information
550 BILTMORE WAY
SUITE 890
CORAL GABLES, FL
ZIP 33134
Phone: (305) 444-8585
Fax: (305) 567-1519
- Individual
- Male
- Surgery
- Plastic and Reconstructive Surgery
- PECOS Enrolled
- Opted-Out Medicare
- CLIA Number: 10D2184265
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-17-2026
About LEONARD ROUDNER
This page provides the complete NPI Profile along with additional information for Leonard Roudner, a provider established in Coral Gables, Florida with a medical specialization in Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1790993525 assigned on May 2007. The practitioner's primary taxonomy code is 2086S0122X with license number ME 28669 (FL). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1790993525
- Provider Name
- DR. LEONARD ARTHUR ROUDNER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 550 BILTMORE WAY SUITE 890 CORAL GABLES, FL 33134
- Location Phone
- (305) 444-8585
- Location Fax
- (305) 567-1519
- Mailing Address
- 550 BILTMORE WAY SUITE 890 CORAL GABLES, FL 33134
- Mailing Phone
- (305) 444-8585
- Mailing Fax
- (305) 567-1519
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-17-2007
- Last Update Date
- 07-08-2007
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Leonard Roudner opted out of Medicare effective on 10-01-2015 until 10-01-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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
Surgery Plastic and Reconstructive Surgery
- Taxonomy Code
- 2086S0122X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME 28669
- License State
- FL
- Taxonomy Description
- A surgeon who specializes in plastic and reconstructive surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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 |
---|---|---|---|
D63606 | MEDICARE UPIN (02) | FL |
Medicare Participation & PECOS Enrollment Status
Leonard Roudner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
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.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2015
Opt-Out End Date: 10-01-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2184265
- Facility Type
- Physician Office
- Certificate Effective Date
- May 18, 2024
- Certificate Expiration Date
- May 17, 2026
- Laboratory Director
- LEONARD A. ROUDNER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Leonard Roudner to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for DR. LEONARD ARTHUR ROUDNER M.D.
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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 | 7 | 9 | 0 | 9 | 9 | 3 | 5 | 2 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 18 | 0 | 18 | 9 | 6 | 5 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 8 + 0 + 1 + 8 + 9 + 6 + 5 + 4 + 24 = 75 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 75 = 5 | 5 |
The NPI number 1790993525 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1801869417 | DR. JAIME A ZAMBRANO D.D.S Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 550 BILTMORE WAY SUITE 760 CORAL GABLES, FL 33134 (305) 567-2772 |
1427264944 | DR. TAL TEDDY ROUDNER M.D Individual | Surgery (Plastic and Reconstructive Surgery) | 550 BILTMORE WAY SUITE 890 CORAL GABLES, FL 33134 (305) 443-3531 |
1962698522 | CORAL GABLES EXECUTIVE PHYSICIANS LLC Organization | Internal Medicine | 550 BILTMORE WAY SUITE 101 CORAL GABLES, FL 33134 (305) 446-9940 |
1467634964 | DR. ANTHONY ALONSO JR. D.M.D. Individual | Dentist (Endodontics) | 550 BILTMORE WAY PENTHOUSE 3B CORAL GABLES, FL 33134 (305) 447-4000 |
1861640179 | LEONARD A. ROUDNER, M.D., F.A.C.S., P.A. Organization | Surgery (Plastic and Reconstructive Surgery) | 550 BILTMORE WAY SUITE 890 CORAL GABLES, FL 33134 (305) 444-8585 |
1588818728 | TAL T ROUDNER MD PA Organization | Surgery (Plastic and Reconstructive Surgery) | 550 BILTMORE WAY SUITE 890 CORAL GABLES, FL 33134 (305) 443-3531 |
1952562472 | MAIRI MUNOZ-BUSTAMANTE PA-C Individual | Physician Assistant (Medical) | 550 BILTMORE WAY SUITE 120 CORAL GABLES, FL 33134 (305) 989-4384 |
1164623955 | JASON IAN ALTMAN M.D. Individual | Plastic Surgery | 550 BILTMORE WAY SUITE 120 CORAL GABLES, FL 33134 (305) 446-7700 |
1033582028 | MARCELO M. GHERSI, M.D., P.A. Organization | Plastic Surgery | 550 BILTMORE WAY SUITE 120 CORAL GABLES, FL 33134 (305) 446-7700 |
1306431937 | MICHELLE SANCHEZ APRN Individual | Nurse Practitioner (Family) | 550 BILTMORE WAY CORAL GABLES, FL 33134 (305) 676-8929 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790993525, enumerated in the NPI registry as an "individual" on May 17, 2007
The provider is located at 550 Biltmore Way Suite 890 Coral Gables, Fl 33134 and the phone number is (305) 444-8585
The provider's speciality is Surgery with taxonomy code 2086S0122X with a focus in Plastic and Reconstructive Surgery
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider's CLIA number is 10D2184265 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
No, the provider signed an affidavit on October 01, 2015 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 01, 2025.
This NPI record was last updated on May 17, 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].
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