NPIMap

Individual provider Active NPI

Ross M Leibovitz, M.D.

  • Surgery Physician
  • Louisville, CO
National Provider Identifier
1376603241
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25793 Issued in CO
Practice address
90 Health Park Dr Ste 370
Louisville, CO 80027-9586
Phone
(303) 666-9839
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25793 CO Primary

Addresses

Primary practice location

90 Health Park Dr Ste 370
Louisville, CO 80027-9586

Mailing address

90 Health Park Dr Ste 370
Louisville, CO 80027-9586
Phone (303) 666-9839

Other identifiers 1

IdentifierTypeStateIssuer
01257930MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000734 CO Practitioner - General Surgery 5395914691 Practice locations: Louisville, CO

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Colorado School of Medicine, Denver, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

90 Health Park Dr
Suite 370
Louisville, CO 80027-9586
Phone (303) 666-9839

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)13
Hernia repair (minimally invasive)24
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25793COMDSurgery Physician

Hospital & facility affiliations 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1376603241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR STE 370",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279586",
            "telephone_number": "303-666-9839",
            "fax_number": "303-666-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR STE 370",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279586",
            "telephone_number": "303-666-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBOVITZ",
        "first_name": "ROSS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "25793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01257930",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.