Active NPI
Ira Gleiberman, MD
- Anatomic Pathology & Clinical Pathology Physician
- Vero Beach, FL
National Provider Identifier
1669451670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME40064
- Practice address
- 1000 36TH St
Vero Beach, FL 32960-4862 - Phone
- (772) 567-9711
- Fax
- (772) 563-4574
- NPI assigned
- Jan 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME40064 | FL | Primary |
Addresses
Primary practice location
1000 36TH St
Vero Beach, FL 32960-4862
Mailing address
7111 Fairway Dr
Suite 400
Palm Beach Gardens, FL 33418-4204
Phone (561) 712-6265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251880500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kilpatrick Pathology PA | Past | Accepting new patients | |
| Ameripath Hospital Services-Florida LLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Ameripath Florida LLC | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Clinical Medical Laboratory
- Fort Myers, FL
- NPI 1407820889
-
- Anatomic Pathology & Clinical Pathology Physician
- Clermont, FL
- NPI 1124091509
Anatomic Pathology & Clinical Pathology
-
- Clinical Medical Laboratory
- King, NC
- NPI 1124035316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311638400000",
"number": "1669451670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 FAIRWAY DR",
"address_2": "SUITE 400",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334184204",
"telephone_number": "561-712-6265",
"fax_number": "561-712-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 36TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604862",
"telephone_number": "772-567-9711",
"fax_number": "772-563-4574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEIBERMAN",
"first_name": "IRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2011-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME40064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251880500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.