Samuel Harris Leibowitz, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0045962 Issued in MD

Practice address

2401 Blueridge Ave
Suite 210
Wheaton, MD 20902-4517

Phone

(301) 933-6440

Fax

(301) 933-5923

NPI assigned

Apr 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Harcart Health Holdings, LLC

  • Emergency Medicine Physician
  • Rockville, MD
  • NPI 1912911215
  Medicare reassignment NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Holy Cross Health, Inc

  • General Acute Care Hospital
  • Silver Spring, MD
  • NPI 1669417838
  NPD (past)
• Pediatric Associates

  • Primary Care Clinic/Center
  • Wheaton, MD
  • NPI 1295921534
  NPD (past)

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

{
    "created_epoch": "1143936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1528029055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BLUERIDGE AVE",
            "address_2": "SUITE 210",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209024517",
            "telephone_number": "301-933-6440",
            "fax_number": "301-933-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BLUERIDGE AVE",
            "address_2": "SUITE 210",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209024517",
            "telephone_number": "301-933-6440",
            "fax_number": "301-933-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBOWITZ",
        "first_name": "SAMUEL",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-02",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0045962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "594961100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Patricia Lazarek, CRNP
• Chul J Lee, MD
• Jean H Lee, MD
• Ki Nyoung Lee, MD
• Danielle Nicole Leff
• Dawn Johnson Leonard, M.D.
• Allan Lesser, MD
• Meghan Lewis, DPT
• Huamin Henry Li, MD, PHD
• Mark K Li, M.D.

• Pediatrics Physician in Wheaton, MD
• Providers in Wheaton, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.