Individual provider Active NPI

Elizabeth Labuz Noble, M.D.

  • MOHS-Micrographic Surgery Physician
  • Newberry, FL
National Provider Identifier
1568606572
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME132763 Issued in FL
Practice address
13575 NW 1St LN Ste 10
Newberry, FL 32669-3735
Phone
(352) 260-0170
Fax
(352) 559-3978
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036158376 IL
Dermatology Physician 207N00000X ME132763 FL
MOHS-Micrographic Surgery Physician 207ND0101X 036158376 IL
MOHS-Micrographic Surgery Physician 207ND0101X ME132763 FL Primary

Addresses

Primary practice location

13575 NW 1St LN Ste 10
Newberry, FL 32669-3735

Mailing address

13575 NW 1St LN Ste 10
Newberry, FL 32669-3735
Phone (352) 260-0170

Other identifiers 1

IdentifierTypeStateIssuer
036158376OtherILIL STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171011000633 FL Practitioner - Dermatology 3870733298 Reassigns benefits to 1 organization
I20211011001407 IL Practitioner - Dermatology 3870733298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Stanford University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology of Gainesville LLCGroup PAC ID 7618211061, 8 clinicians

Practice addresses (Care Compare)

410 N Main St
Suite 9
Chiefland, FL 32626-0866
Phone (352) 260-0170

Merit-based Incentive Payment System (MIPS)

Final score
83.12 of 100Reported as group
Quality
80.22
Promoting interoperability
100
Improvement activities
40
Cost
63.51

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision53
Removal of skin lesions60
Removal of skin cancer522
Removal or shaving of skin growth1-10
Skin biopsy23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME132763FLMDMOHS-Micrographic Surgery Physician
036158376ILMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology of Gainesville LLC Dermatology CurrentSince Nov 15, 2022 Accepting new patients
Skinnovate, LLC Dermatology CurrentSince Oct 1, 2021 Accepting new patients
Suncoast Skin Solutions Dermatology CurrentSince Dec 1, 2021 Accepting new patients
Medovate LLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

410 N Main St
Chiefland, FL 32626
Phone (352) 493-7274

410 N Main St
Ste 9
Chiefland, FL 32626
Phone (352) 260-0170

4525 SW 13th St
Gainesville, FL 32608
Phone (352) 377-8619

13575 NW 1st Ln
Ste 10
Newberry, FL 32669
Phone (352) 260-0170

315 NW 138th Ter
Newberry, FL 32669
Phone (352) 443-0353

1450 Busch Pkwy
Ste 145
Buffalo Grove, IL 60089
Phone (708) 669-9313

Interoperability endpoints

  • Direct secure messaging: noble@dsg.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1568606572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 NW 1ST LN STE 10",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693735",
            "telephone_number": "352-260-0170",
            "fax_number": "352-559-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 NW 1ST LN STE 10",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693735",
            "telephone_number": "352-260-0170",
            "fax_number": "352-559-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "ELIZABETH",
        "middle_name": "LABUZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2022-10-19",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036158376",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME132763",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036158376",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME132763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LICENSE",
            "identifier": "036158376",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, FL

Sources for this page

Verify at the official NPI Registry.