Active NPI
Michael A Gleiber, M.D.
- Orthopaedic Surgery of the Spine Physician
- West Palm Beach, FL
National Provider Identifier
1154454007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- ME 100716
- Practice address
- 1555 Palm Beach Lakes Boulevard
Suite 950
West Palm Beach, FL 33401 - Phone
- (561) 972-6464
- Fax
- (561) 972-6515
- NPI assigned
- Mar 13, 2007
- Last updated
- Jul 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 036121153 | IL | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | ME 100716 | FL | Primary |
Addresses
Primary practice location
1555 Palm Beach Lakes Boulevard
Suite 950
West Palm Beach, FL 33401
Mailing address
1555 Palm Beach Lakes Boulevard
Suite 950
West Palm Beach, FL 33401
Phone (561) 972-6464
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200870510A | Medicaid | IN | |
| 000000530346 | Other | KY | ANTHEM / UNIV ORTHO ASSOC |
| 000000529416 | Other | KY | ANTHEM / SPINE INSTITUTE |
| 229895 | Other | NY | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Oct 1, 2012 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036121153 | IL | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Institute of Neurosurgery & Neuroresearch | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery of the Spine Physician
- West Palm Beach, FL
- NPI 1093029480
-
- Neurological Surgery Physician
- Chicago, IL
- NPI 1326099391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1154454007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 PALM BEACH LAKES BOULEVARD",
"address_2": "SUITE 950",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33401",
"telephone_number": "561-972-6464",
"fax_number": "561-972-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 PALM BEACH LAKES BOULEVARD",
"address_2": "SUITE 950",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33401",
"telephone_number": "561-972-6464",
"fax_number": "561-972-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEIBER",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "IL",
"license": "036121153",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "FL",
"license": "ME 100716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200870510A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM / UNIV ORTHO ASSOC",
"identifier": "000000530346",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM / SPINE INSTITUTE",
"identifier": "000000529416",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "229895",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.