Individual provider Active NPI

Michael A Gleiber, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • West Palm Beach, FL
National Provider Identifier
1154454007
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME 100716 Issued in FL
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200870510AMedicaidIN
000000530346OtherKYANTHEM / UNIV ORTHO ASSOC
000000529416OtherKYANTHEM / SPINE INSTITUTE
229895OtherNYSTATE 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

LicenseStateTypeSpecialty
036121153ILMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.