Individual provider Active NPI

Nathan Luibrand, MD

  • Anesthesiology Physician
  • Detroit, MI
National Provider Identifier
1598185290
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME166293 Issued in FL
Practice address
4201 Saint Antoine St
Room 9C/Uhc
Detroit, MI 48201-2153
Phone
(248) 978-3294
NPI assigned
Apr 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301105233 MI
Anesthesiology Physician 207L00000X ME166293 FL Primary

Addresses

Primary practice location

4201 Saint Antoine St
Room 9C/Uhc
Detroit, MI 48201-2153

Mailing address

8831 Autumnglo Dr
Clarkston, MI 48348-1601
Phone (248) 978-3294

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
I20240422002372 FL Practitioner - Anesthesiology 9537463567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Arkansas College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2629 Welaunee Blvd
Tallahassee, FL 32308-4697
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME166293FLMDAnesthesiology Physician
4301105233MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Associates of Tallahassee Inc Anesthesiology CurrentSince Feb 1, 2024 Accepting new patients
Anesthesiology Associates of Tallahassee Inc Anesthesiology CurrentSince Feb 1, 2024 Accepting new patients
Anesthesiology Associates of Tallahassee Inc Anesthesiology Past Accepting new patients

Locations

2629 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 877-4688

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

2173 Centerville Pl
Ste A
Tallahassee, FL 32308

3334 Capital Medical Blvd
Ste 500
Tallahassee, FL 32308
Phone (850) 877-4688

Interoperability endpoints

  • Direct secure messaging: nluibran@direct.dmc.org

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.

Hospital & facility affiliations 2

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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1598185290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 AUTUMNGLO DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483481601",
            "telephone_number": "248-978-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "ROOM 9C/UHC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "248-978-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIBRAND",
        "first_name": "NATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301105233",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME166293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.