MAGNIE LAZARA LEDESMA LEON (MD) – Internal Medicine Physician, NPI 1174849749

MAGNIE LAZARA LEDESMA LEON (MD) is a healthcare provider. based in Hialeah, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. ME165580 (FL). The NPI Number for MAGNIE LAZARA LEDESMA LEON (MD) is 1174849749

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MAGNIE LAZARA LEDESMA LEON (MD)
NPI
1174849749
Phone
(305) 364-2107
Address
2001 W 68TH ST STE 202
Enumeration Date
8 April 2010
Last Update Date
2 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3054458461
Graduation Year
2004 (22 years ago)
PAC ID
4385097864
Group Practice PAC ID
5092804229
Professional Enrollment ID
I20240131003886
Address ID
FL331346914CO3100XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:16State licenses:1Digital endpointsOther names

1,466 GENERAL PRACTICE in FL

Provider Addresses for MAGNIE LAZARA LEDESMA LEON (MD)

  • 2001 W 68TH ST STE 202

    HIALEAH, FL 330161898

    Phone: (305) 364-2107

    Type: Mailing

  • 11031, Northeast 6th Avenue, Miami Shores, Miami-Dade County, Florida, 33161, United States

    MIAMI, FL 331617182

    Phone: (305) 398-6100

    Fax: (305) 757-4465

    Type: Mailing

  • Miami Dade College InterAmerican, 701, Southwest 27th Avenue, Little Havana, Miami, Miami-Dade County, Florida, 33135, United States

    SUITE G20

    MIAMI, FL 331353031

    Phone: (305) 643-7800

    Fax: (305) 643-1345

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $260.

Total Amount is formed as General ($260) + Research ($0) + Ownership ($0) = $260.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Medtronic, Inc. ($260).

Total Amount

$260

General + Research + Ownership

Payments

2

Total payment records

General Amount

$260

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$260
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240131003886IGeneral PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33016)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092804229View full group profile
NameSpecialtyState
Internal MedicineFL
Nurse PractitionerFL
Internal MedicineNY
Internal MedicineFL
Family Practice, General PracticeMI
Internal MedicineFL
Internal MedicineMN
Family PracticeFL
Family PracticeFL
Internal MedicineFL

Reviews

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Frequently asked questions

What NPI should I save for MAGNIE LAZARA LEDESMA LEON (MD)?
Save NPI 1174849749 if you need a stable reference for MAGNIE LAZARA LEDESMA LEON (MD).
Is MAGNIE LAZARA LEDESMA LEON (MD) currently active in the NPI registry?
CMS-published data lists MAGNIE LAZARA LEDESMA LEON (MD) as an active registrant.
What field does MAGNIE LAZARA LEDESMA LEON (MD) work in?
You can think of MAGNIE LAZARA LEDESMA LEON (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for MAGNIE LAZARA LEDESMA LEON (MD)?
We surface Hialeah, Florida for MAGNIE LAZARA LEDESMA LEON (MD) based on available NPPES addresses.
How can I contact MAGNIE LAZARA LEDESMA LEON (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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