Individual provider Active NPI

Jairo D. Libreros, MD PA

  • Neurology Physician
  • Palm Harbor, FL
National Provider Identifier
1518922285
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME63932 Issued in FL
Practice address
36338 US Highway 19 N
Palm Harbor, FL 34684-1328
Phone
(727) 773-8886
Fax
(727) 773-8896
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME63932 FL Primary

Addresses

Primary practice location

36338 US Highway 19 N
Palm Harbor, FL 34684-1328

Mailing address

36338 US Highway 19 N
Palm Harbor, FL 34684-1328
Phone (727) 773-8886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040407000329 FL Practitioner - Neurology 5890788699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4914 N Armenia Ave
Tampa, FL 33606-1402
Phone (813) 876-7246

Merit-based Incentive Payment System (MIPS)

Final score
97.61 of 100Reported as individual
Quality
76.12
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jairo D Libreros-Cupido MD PA Neurology Current Accepting new patients
Jairo D Libreros MD PA Neurology CurrentSince Jun 13, 2005 Accepting new patients
Jose a Quimbayo M D P a Past Accepting new patients

Locations

36338 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 773-8886

4914 N Armenia Ave
Tampa, FL 33603
Phone (813) 876-7246

Interoperability endpoints

  • Direct secure messaging: jairolibreros@lib.ssdirect.aprima.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1518922285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36338 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841328",
            "telephone_number": "727-773-8886",
            "fax_number": "727-773-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36338 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841328",
            "telephone_number": "727-773-8886",
            "fax_number": "727-773-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBREROS",
        "first_name": "JAIRO",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME63932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.