Active NPI
Fred A Liebowitz, M.D.
- Pain Medicine Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- ME60344
- Practice address
- 6150 Diamond Centre CT
# 700-1
Fort Myers, FL 33912-4365 - Phone
- (239) 278-1000
- Fax
- (239) 278-0501
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME60344 | FL | |
| Pain Medicine Physician | 208VP0000X | ME60344 | FL | Primary |
Addresses
Primary practice location
6150 Diamond Centre CT
# 700-1
Fort Myers, FL 33912-4365
Mailing address
6150 Diamond Centre CT
# 700-1
Fort Myers, FL 33912-4365
Phone (239) 278-1000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- New York Medical College, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1601 -1 N Main St
Unit 3159
Jacksonville, FL 32206-7707
Phone (860) 335-5064
6150 Diamond Centre
Suite 1
Fort Myers, FL 33912-4365
Phone (239) 278-1000
Hospital & facility affiliations
- Lee Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sciometrix Inc | Current | Accepting new patients | |
| Fred a Liebowitz MD PA | Current | Accepting new patients | |
| Fred a Liebowitz MD PA | Pain Medicine | Current | Accepting new patients |
| Sciometrix LLC | Past | Accepting new patients |
Locations
13685 Doctors Way
Ste 100
Fort Myers, FL 33912
Phone (239) 343-1176
6150 Diamond Centre Ct
Ste 7001
Fort Myers, FL 33912
Phone (239) 278-1000
6150 Diamond Centre Ct
#700
Fort Myers, FL 33912
6150 Diamond Centre Ct
#7001
Fort Myers, FL 33912
Phone (239) 278-1000
1601-1 N Main St
Unit 3159
Jacksonville, FL 32206
Phone (561) 449-2478
1601 N Main St
Ste 3159
Jacksonville, FL 32206
306 S Washington Ave
Ste 600
Royal Oak, MI 48067
Interoperability endpoints
- https://api.platform.athenahealth.com/20005/brand/1/csg/1/fhir/r4
- fred.liebowitz.1@20005.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Pain Medicine Physician
- Fort Myers, FL
- NPI 1275723520
-
- Pain Medicine (Anesthesiology) Physician
- Fort Myers, FL
- NPI 1265984124
-
- General Practice Physician
- Royal Oak, MI
- NPI 1619649894
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1801892633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6150 DIAMOND CENTRE CT",
"address_2": "# 700-1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124365",
"telephone_number": "239-278-1000",
"fax_number": "239-278-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6150 DIAMOND CENTRE CT",
"address_2": "# 700-1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124365",
"telephone_number": "239-278-1000",
"fax_number": "239-278-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBOWITZ",
"first_name": "FRED",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME60344",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME60344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.