Active NPI
Adriana Leibovici
- Internal Medicine Physician
- Cleveland, OH
National Provider Identifier
1811218738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 57014292
- Practice address
- 2351 E 22ND St
Office of Graduate Medical Education
Cleveland, OH 44115-3111 - Phone
- (216) 861-6200
- NPI assigned
- Jun 15, 2010
- Last updated
- Jun 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57014292 | OH | Primary |
Addresses
Primary practice location
2351 E 22ND St
Office of Graduate Medical Education
Cleveland, OH 44115-3111
Mailing address
19402 Knowlton Pkwy
Apt 205
Strongsville, OH 44149-9064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150127000869 | OH | Order and Referring Only - Internal Medicine | 9032433800 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57014292 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1811218738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19402 KNOWLTON PKWY",
"address_2": "APT 205",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441499064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 E 22ND ST",
"address_2": "OFFICE OF GRADUATE MEDICAL EDUCATION",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441153111",
"telephone_number": "216-861-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIBOVICI",
"first_name": "ADRIANA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-15",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57014292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.