Individual provider Active NPI

David E Leibowitz, D.O.

  • Family Medicine Physician
  • East Providence, RI
National Provider Identifier
1477570018
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO00373 Issued in RI
Practice address
450 Veterans Memorial Pkwy # 15B
East Providence, RI 02914-5300
Phone
(401) 434-3350
Fax
(401) 434-5230
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO00373 RI Primary

Addresses

Primary practice location

450 Veterans Memorial Pkwy # 15B
East Providence, RI 02914-5300

Mailing address

450 Veterans Memorial Pkwy # 15B
East Providence, RI 02914-5300
Phone (401) 434-3350

Other identifiers 1

IdentifierTypeStateIssuer
7000765MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20050806000189 RI Practitioner - Family Practice 9335178789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VMD Primary Providers of Rhode Island PCGroup PAC ID 3072913714, 51 clinicians

Practice addresses (Care Compare)

450 Veterans Memorial Pkwy
Suite 15B
East Providence, RI 02914-5300
Phone (401) 434-3350

Hospital & facility affiliations

  • Visiting Nurse Home and Hospice Home health agency, Middleton, RI, CCN 417000
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Newport Hospital Hospital, Newport, RI, CCN 410006
  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO00373RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. CurrentSince May 1, 2024 Accepting new patients
VMD Primary Providers of Rhode Island PC Family Medicine CurrentSince Nov 18, 2024 Accepting new patients
Prospect Chartercare Physicians, LLC Family Medicine CurrentSince Jul 11, 2017 Accepting new patients
Coastal Medical Physicians, Inc. Family Medicine CurrentSince May 1, 2024 Accepting new patients

Locations

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

106 Nate Whipple Hwy
Ste 101
Cumberland, RI 02864
Phone (401) 658-1197

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

450 Veterans Memorial Pkwy
#15B
East Providence, RI 02914
Phone (401) 434-3350

450 Veterans Memorial Pkwy
Ste 15B
East Providence, RI 02914
Phone (401) 434-3350

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

639 Metacom Ave
Warren, RI 02885
Phone (401) 245-1500

851 Main St
Warren, RI 02885
Phone (401) 247-1000

Interoperability endpoints

  • Direct secure messaging: david.leibowitz.1@31278.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1477570018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY # 15B",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "telephone_number": "401-434-3350",
            "fax_number": "401-434-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY # 15B",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "telephone_number": "401-434-3350",
            "fax_number": "401-434-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBOWITZ",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "DO00373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000765",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.