Active NPI
Cesar Aquiles Lluberes, M.D.
- Child & Adolescent Psychiatry Physician
- Bradenton, FL
National Provider Identifier
1619326832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- ME148247
- Practice address
- 4480 51St St W
Bradenton, FL 34210-2855 - Phone
- (941) 251-5000
- NPI assigned
- Jun 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT211837 | PA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME148247 | FL | Primary |
Addresses
Primary practice location
4480 51St St W
Bradenton, FL 34210-2855
Mailing address
4480 51St St W
Bradenton, FL 34210-2855
Phone (941) 251-5000
Other practice location 1
5501 Old York Rd
Albert Einstein Medical Center
Philadelphia, PA 19141-3018
Phone (215) 456-9015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4020 Aspen Grove Dr
Suite 900
Franklin, TN 37067-2952
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME148247 | FL | MD | Child & Adolescent Psychiatry Physician |
| MT211837 | PA | MD | Student in an Organized Health Care Education/Training Program |
Organizations & group practices 1
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.
-
- Psychiatric Hospital
- Philadelphia, PA
- NPI 1629468137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1619326832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4480 51ST ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342102855",
"telephone_number": "941-251-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4480 51ST ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342102855",
"telephone_number": "941-251-5000"
}
],
"practiceLocations": [
{
"address_1": "5501 Old York Rd",
"address_2": "Albert Einstein Medical Center",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413018",
"country_code": "US",
"telephone_number": "215-456-9015",
"fax_number": "215-456-9105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LLUBERES",
"first_name": "CESAR",
"middle_name": "AQUILES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-08",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT211837",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME148247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.