Active NPI
Daniel H Libraty, M.D.
- Infectious Disease Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 215979
- Practice address
- 55 Lake Ave N
Department of Infectious Disease
Worcester, MA 01655-0002 - Phone
- (508) 856-4182
- NPI assigned
- Nov 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 215979 | MA | Primary |
Addresses
Primary practice location
55 Lake Ave N
Department of Infectious Disease
Worcester, MA 01655-0002
Mailing address
PO Box 415348
Boston, MA 02241-5348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0176541 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- University of California, San Diego School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 E Compton Blvd
Compton, CA 90220-2410
Phone (424) 338-8790
2215 W Rosecrans Ave
Compton, CA 90222-3856
3400 Douglas Blvd
Suite 170
Roseville, CA 95661-4281
Phone (916) 740-3721
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215979 | MA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| Telehealth Specialty Medical Group | Infectious Disease | Current | Accepting new patients |
| Tele-Medicine Services Ny, PLLC | Past | Accepting new patients | |
| Access Telecare California, P.C. | Infectious Disease | Past | Accepting new patients |
Locations
2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8790
2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755
3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628
3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721
2510 Douglas Blvd
Ste 300
Roseville, CA 95661
Phone (279) 600-4411
Interoperability endpoints
- telemed2u.daniellibraty@160918.advancedmd-direct.com
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.
-
dba Martin Lurher King Jr. Community Medical Group
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1356899777
-
dba TeleMed2U
- Emergency Medicine Physician
- Roseville, CA
- NPI 1326338237
Infectious Disease
-
dba Martin Luther King Jr. Community Medical Group
- Multi-Specialty Clinic/Center
- Compton, CA
- NPI 1306496641
-
- Radiology Clinic/Center
- Los Angeles, CA
- NPI 1346082294
-
- Internal Medicine Physician
- Roseville, CA
- NPI 1609663780
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Martin Luther King, Jr. Community Hospital
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114367497
-
dba UCSF Health - St. Mary's Hospital
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
-
dba UCSF Health Saint Francis Hospital
- General Acute Care Hospital
- San Francisco, CA
- NPI 1316061997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291939200000",
"number": "1255314100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"address_2": "DEPARTMENT OF INFECTIOUS DISEASE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "508-856-4182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBRATY",
"first_name": "DANIEL",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2010-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MA",
"license": "215979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0176541",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.