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

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
Mailing address734 N 3rd St, Ste 115, Leesburg, FL 34748-5285

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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