NPIMap

Individual provider Active NPI

Marie-Carmelle C Liburd, M.D.

  • Obstetrics & Gynecology Physician
  • Miami, FL
National Provider Identifier
1013012541
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME89786 Issued in FL
Practice address
1190 NW 95TH St
Suite 105
Miami, FL 33150-2063
Phone
(305) 696-9400
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME89786 FL Primary

Addresses

Primary practice location

1190 NW 95TH St
Suite 105
Miami, FL 33150-2063

Mailing address

1190 NW 95TH St
Suite 105
Miami, FL 33150-2063
Phone (305) 696-9400

Other practice location 1

3601 Federal Hwy
Miami, FL 33137-3795
Phone (305) 576-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070522000521 FL Practitioner - Obstetrics/Gynecology 4284677436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB Hospitalist Group LLCGroup PAC ID 5193866838, 127 clinicians

Practice addresses (Care Compare)

1190 NW 95TH St
Suite 107
Miami, FL 33150-2064
Phone (305) 696-9400

160 NW 170 St
North Miami Beach, FL 33169-5521
Phone (864) 908-3530

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME89786FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Apr 1, 2024 Accepting new patients
Medical Care for Women LLC Obstetrics & Gynecology CurrentSince Sep 28, 2006 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Apr 1, 2024 Accepting new patients
Borinquen Health Care Center, Inc. Past Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1190 NW 95th St
Ste 105
Miami, FL 33150
Phone (305) 615-2637

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

1190 NW 95th St
Ste 107
Miami, FL 33150
Phone (305) 696-9400

16799 NE 1st Ave
North Miami Beach, FL 33162
Phone (305) 652-3424

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Interoperability endpoints

  • Direct secure messaging: marie-carmelle.liburd.1@20324.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20324/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marie-carmelle.liburd.1@8506.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1013012541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST",
            "address_2": "SUITE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502063",
            "telephone_number": "305-696-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST",
            "address_2": "SUITE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502063",
            "telephone_number": "305-696-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331373795",
            "country_code": "US",
            "telephone_number": "305-576-6611",
            "fax_number": "786-476-2824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIBURD",
        "first_name": "MARIE-CARMELLE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME89786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.