Individual provider Active NPI

Fred A Liebowitz, M.D.

  • Pain Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1801892633
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME60344 Issued in FL
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

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080222000386 FL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 9830090505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
New York Medical College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sciometrix IncGroup PAC ID 9335511443, 46 clinicians

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 Hospital, Fort Myers, FL, CCN 100012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sciometrix Inc CurrentSince Apr 15, 2024 Accepting new patients
Fred a Liebowitz MD PA Current Accepting new patients
Fred a Liebowitz MD PA Pain Medicine CurrentSince Jul 15, 1991 Accepting new patients
Sciometrix LLC PastSince Oct 10, 2021 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

  • FHIR API: https://api.platform.athenahealth.com/20005/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.