NPIMap

Individual provider Active NPI

Joseph Anthony Libby, MD, FACP, CMD

  • Internal Medicine Physician
  • Celebration, FL
National Provider Identifier
1861574279
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME148336 Issued in FL
Practice address
1663 Future Way
Celebration, FL 34747-4490
Phone
(689) 207-0654
Fax
(407) 396-1028
NPI assigned
Oct 19, 2006
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME148336 FL Primary
Internal Medicine Physician 207R00000X MA58280 NJ

Addresses

Primary practice location

1663 Future Way
Celebration, FL 34747-4490

Mailing address

1663 Future Way
Celebration, FL 34747-4490
Phone (689) 207-0654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714004205 FL Practitioner - Internal Medicine 2860417110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

1663 Future Way
Celebration, FL 34747-4490
Phone (689) 207-0654

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA58280NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Internal Medicine CurrentSince Jun 2, 2025 Accepting new patients
Kennedy Medical Group Practice, P.C. Internal Medicine PastSince Jun 15, 2021 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

1530 Celebration Blvd
Ste 101
Kissimmee, FL 34747
Phone (407) 566-0404

1663 Future Way
Kissimmee, FL 34747
Phone (407) 307-3833

Interoperability endpoints

  • Direct secure messaging: jlibby862655@adventhealth.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1861574279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 FUTURE WAY",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474490",
            "telephone_number": "689-207-0654",
            "fax_number": "407-396-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 FUTURE WAY",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474490",
            "telephone_number": "689-207-0654",
            "fax_number": "407-396-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "credential": "MD, FACP, CMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME148336",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA58280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.