Individual provider Active NPI

Julia A Libecco, MD

  • Pediatrics Physician
  • Parma, OH
National Provider Identifier
1689770513
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35082756L Issued in OH
Practice address
6707 Powers Blvd Ste 203
Parma, OH 44129-5464
Phone
(440) 845-1500
Fax
(440) 845-9227
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35082756 OH
Pediatrics Physician 208000000X 35082756L OH Primary

Addresses

Primary practice location

6707 Powers Blvd Ste 203
Parma, OH 44129-5464

Mailing address

24701 Euclid Ave
Euclid, OH 44117-1714
Phone (440) 845-1500

Other identifiers 2

IdentifierTypeStateIssuer
2500412MedicaidOH
1689770513MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julialibecco@uhps.allscriptsdirect.net

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

State licenses

LicenseStateTypeSpecialty
35082756OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jlibecco37667@ehrdirect.uhhospitals.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1689770513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "440-845-1500",
            "fax_number": "440-845-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 POWERS BLVD STE 203",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295464",
            "telephone_number": "440-845-1500",
            "fax_number": "440-845-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBECCO",
        "first_name": "JULIA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35082756",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35082756L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2500412",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689770513",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julialibecco@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "6707 Powers Blvd Ste 203",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441295464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.