Individual provider Active NPI

Carol Lebischak, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1013924356
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
ME75273 Issued in FL
Practice address
215 Grand Ave
Coral Gables, FL 33133-4841
Phone
(305) 441-7179
Fax
(305) 448-7134
NPI assigned
Aug 1, 2006
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD031802E PA
Neonatal-Perinatal Medicine Physician 2080N0001X ME75273 FL Primary
Neonatal-Perinatal Medicine Physician 2080N0001X MD031802E PA
Neonatal-Perinatal Medicine Physician 2080N0001X C1-0028121 DE

Addresses

Primary practice location

215 Grand Ave
Coral Gables, FL 33133-4841

Mailing address

19 NE 26TH CT
Wilton Manors, FL 33334-1026
Phone (610) 585-6297

Other identifiers 2

IdentifierTypeStateIssuer
001393412MedicaidPA
8530203MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819004118 DE Practitioner - Pediatric Medicine 4587027586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

640 S State St
Dover, DE 19901-3530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD031802EPAMDPediatrics Physician
ME75273FLMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jul 1, 2025 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jul 1, 2025 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jul 1, 2025 Accepting new patients
South Dade Neonatology Neonatal-Perinatal Medicine Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1013924356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 NE 26TH CT",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333341026",
            "telephone_number": "610-585-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 GRAND AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331334841",
            "telephone_number": "305-441-7179",
            "fax_number": "305-448-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBISCHAK",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD031802E",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "FL",
            "license": "ME75273",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PA",
            "license": "MD031802E",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "DE",
            "license": "C1-0028121",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001393412",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8530203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.