Alan Klibanoff, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME29024 Issued in FL

Practice address

33920 US 19 N Ste 124
Palm Harbor, FL 34684-2619

Phone

(727) 785-7654

Fax

(727) 787-0061

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• West Central Gastroenterology LLP

  • Gastroenterology Physician
  • Clearwater, FL
  • NPI 1144454703
  Medicare reassignment NPD
• Daly Klibanoff Peebles & Zeitlin MD PA

  • Specialist
  • Palm Harbor, FL
  • NPI 1124159082
  NPD
• Gastro Florida Pharmacy, LLC

  • Pharmacy
  • Clearwater, FL
  • NPI 1285272815
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1740238989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EXECUTIVE DR STE 130",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337625323",
            "telephone_number": "727-347-0005",
            "fax_number": "727-541-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33920 US 19 N STE 124",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842619",
            "telephone_number": "727-785-7654",
            "fax_number": "727-787-0061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12780 Race Track Rd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336261395",
            "country_code": "US",
            "telephone_number": "813-854-2531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2044 Trinity Oaks Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346554405",
            "country_code": "US",
            "telephone_number": "727-372-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLIBANOFF",
        "first_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME29024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Klaus, LCSW
• Jay H Klein, M.D.
• Patrick Ralph Klein, LCSW
• Jennifer Kleinbart, M.D.
• Richard Kleynowski II
• Amanda Kluzynski, AU.D.
• Paula Jean Knapp-Baker, DO
• Dan A. Knellinger, D.M.D.
• Samantha Knetsch, MOT, OTR/L
• Amber Marie Koerner, FNP-C

• Gastroenterology Physician in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.