Individual provider Active NPI

John Robert Leibach, MD

  • Gastroenterology Physician
  • Gainesville, FL
National Provider Identifier
1104841840
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0023160 Issued in FL
Practice address
6400 W Newberry Rd
Suite 302
Gainesville, FL 32605
Phone
(352) 331-8902
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME0023160 FL Primary

Addresses

Primary practice location

6400 W Newberry Rd
Suite 302
Gainesville, FL 32605

Mailing address

6400 W Newberry Rd
Suite 308
Gainesville, FL 32605
Phone (352) 331-8902

Other identifiers 1

IdentifierTypeStateIssuer
058638200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100803001060 FL Practitioner - Gastroenterology 1557494168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
74.47 of 100Reported as group
Quality
69.28
Promoting interoperability
72
Improvement activities
30
Cost
81.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0023160FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Associates Gastroenterology CurrentSince Nov 1, 1974 Accepting new patients

Locations

6400 W Newberry Rd
Ste 302
Gainesville, FL 32605
Phone (352) 331-8902

6400 W Newberry Rd
Ste 308
Gainesville, FL 32605
Phone (352) 331-8902

Interoperability endpoints

  • Direct secure messaging: johnleibachmd@dda.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1104841840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 W NEWBERRY RD",
            "address_2": "SUITE 308",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "telephone_number": "352-331-8902",
            "fax_number": "352-332-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W NEWBERRY RD",
            "address_2": "SUITE 302",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "telephone_number": "352-331-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBACH",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0023160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058638200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.