Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Keith Kastelic, MD

Individual provider Diagnostic Radiology Physician · NPI 1053405381

Dr. Keith Kastelic, MD is a Diagnostic Radiology in Leesburg, Florida. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1993, 33 years ago. Practices with Lake Medical Imaging and Breast Center at the Villages LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
33
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 E Dixie Ave Ste 104
Leesburg, FL 34748-7699
Phone: (352) 365-2583
Fax: (352) 728-6749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 104154 (MO)

Record details

NPI number1053405381
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESMay 10, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1993 (33 years in practice)
Group practice Lake Medical Imaging And Breast Center At The Villages Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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