Individual provider Active NPI

Samuel Leibovici, M.D.

  • Hospitalist Physician
  • Fort Myers, FL
National Provider Identifier
1063585164
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME127377 Issued in FL
Practice address
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone
(239) 343-2052
Fax
(239) 343-5348
NPI assigned
Nov 16, 2006
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Male
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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101237467 VA
Emergency Medicine Physician 207P00000X 0101237467 VA
Internal Medicine Physician 207R00000X C55251 CA
Internal Medicine Physician 207R00000X 0101237467 VA
Addiction Medicine (Internal Medicine) Physician 207RA0401X 61-19200 CA
Hospitalist Physician 208M00000X 2017005144 MO
Hospitalist Physician 208M00000X 0101237467 VA
Hospitalist Physician 208M00000X ME127377 FL Primary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 61-19200 CA

Addresses

Primary practice location

9981 S Healthpark Dr
Fort Myers, FL 33908-3618

Mailing address

99 N la Cienega Blvd Ste 303
Beverly Hills, CA 90211-2283
Phone (626) 665-5851

Other practice location 1

421 Van Wyck Mews
Norfolk, VA 23517
Phone (757) 373-8438

Other practice location 2

18250 Roscoe Blvd Ste 200
Northridge, CA 91325-4226
Phone (818) 721-4800

Other practice location 3

1101 W Liberty St
Farmington, MO 63640-1921
Phone (573) 705-1272

Other practice location 4

99 N La Cienega Blvd Ste 303
Beverly Hills, CA 90211-2283
Phone (626) 665-5851

Other identifiers 2

IdentifierTypeStateIssuer
C55251OtherCAINTERNAL MEDICINE
126774700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, CA, AR, TN, MO, ND, NM, WY, TX, FL, WA12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20070320000367 VA Practitioner - Internal Medicine 4183727753 Reassigns benefits to 1 organization
I20160204001429 NC Practitioner - Internal Medicine 4183727753 Reassigns benefits to 1 organization
I20161012002340 CA Practitioner - Internal Medicine 4183727753
I20180410002341 AR Practitioner - Internal Medicine 4183727753 Reassigns benefits to 3 organizations
I20180623000126 TN Practitioner - Internal Medicine 4183727753 Reassigns benefits to 3 organizations
I20200121002108 MO Practitioner - Internal MedicinePractitioner - Hospitalist 4183727753 Reassigns benefits to 2 organizations
I20240103003303 ND Practitioner - Hospitalist 4183727753 Reassigns benefits to 1 organization
I20240108004320 NM Practitioner - Internal Medicine 4183727753 Reassigns benefits to 1 organization
I20241018003217 WY Practitioner - Internal Medicine 4183727753 Reassigns benefits to 1 organization
I20241031002216 TX Practitioner - Internal Medicine 4183727753 Reassigns benefits to 2 organizations
I20250522001293 FL Practitioner - HospitalistPractitioner - Internal Medicine 4183727753 Reassigns benefits to 1 organization
I20260202002021 WA Practitioner - Hospitalist 4183727753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missouri HB Medical Services LLCGroup PAC ID 2668813197, 77 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (573) 776-9290

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-2606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C55251CAMDInternal Medicine Physician
0101237467VAMDInternal Medicine Physician
61-19200CAMDAddiction Medicine (Preventive Medicine) Physician
ME127377FLMDHospitalist Physician
2017005144MOMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Dec 20, 2025 Accepting new patients
Altru Health System Internal Medicine Current Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Nov 14, 2023 Accepting new patients
Altru Health System CurrentSince Jan 2, 2024 Accepting new patients
Altru Health System CurrentSince Jan 2, 2024 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Oct 1, 2025 Accepting new patients
Lander Valley Physician Practices, LLC Specialist CurrentSince Sep 14, 2024 Accepting new patients
App of Tennessee HM, PLLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Mar 6, 2018 Accepting new patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Jan 11, 2022 Accepting new patients
Vidant Medical Group LLC CurrentSince Jun 1, 2016 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Dec 20, 2025 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Nov 10, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Dec 5, 2023 Accepting new patients
Lee Health System Inc CurrentSince Jun 1, 2025 Accepting new patients
FHMC Group Inc CurrentSince Feb 16, 2021 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Mar 6, 2018 Accepting new patients
Hospital Medicine Services of TX, PLLC Hospitalist CurrentSince Sep 1, 2024 Accepting new patients
Midwest Hospitalist Physicians LLP Hospitalist CurrentSince Oct 18, 2022 Accepting new patients
Southeast Arkansas Hospitalists, LLP Hospitalist CurrentSince Dec 29, 2020 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Nov 10, 2025 Accepting new patients
Missouri HB Medical Services, LLC Emergency Medicine CurrentSince Nov 25, 2024 Accepting new patients
Arkansas Health Group Internal Medicine CurrentSince Apr 11, 2022 Accepting new patients
Lee Health System Inc Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Arkansas Health Group CurrentSince Apr 11, 2022 Accepting new patients
Ohio Valley Physicians Inc Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Dagmar Liepa, MD Addiction Medicine PastSince Apr 14, 2024 Accepting new patients
Memorial Health Care System Inc. Past Accepting new patients
Addictionmds PC Addiction Medicine PastSince Feb 27, 2022 Accepting new patients
El Proyecto del Barrio, Inc. PastSince Mar 2, 2019 Accepting new patients
Integrated Medical Services PLC Specialist Past Accepting new patients
Baptist Health Past Accepting new patients
Chca Conroe LP Past Accepting new patients

Locations (25 of 40)

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9601 Interstate 630
#7
Little Rock, AR 72205
Phone (501) 202-3995

1701 Club Manor Dr
#2B
Maumelle, AR 72113

1701 Club Manor Dr
Ste 2B
North Little Rock, AR 72113
Phone (501) 349-7094

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

9043 Woodman Ave
Ste C
Arleta, CA 91331
Phone (818) 221-3096

822 E Avenue K
Lancaster, CA 93535
Phone (661) 579-9760

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

726 McFarland St
Morristown, TN 37814
Phone (423) 522-6160

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

300 20th Ave N
Fl 9
Nashville, TN 37203

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1063585164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD STE 303",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112283",
            "telephone_number": "626-665-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9981 S HEALTHPARK DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083618",
            "telephone_number": "239-343-2052",
            "fax_number": "239-343-5348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Van Wyck Mews",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "23517",
            "country_code": "US",
            "telephone_number": "757-373-8438",
            "fax_number": "757-333-7736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18250 Roscoe Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913254226",
            "country_code": "US",
            "telephone_number": "818-721-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 W Liberty St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401921",
            "country_code": "US",
            "telephone_number": "573-705-1272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 N La Cienega Blvd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902112283",
            "country_code": "US",
            "telephone_number": "626-665-5851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIBOVICI",
        "first_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101237467",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101237467",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C55251",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101237467",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "61-19200",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2017005144",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101237467",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME127377",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "CA",
            "license": "61-19200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE",
            "identifier": "C55251",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126774700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1101 W Liberty St",
            "city": "Farmington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636401921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.