Individual provider Active NPI

Richard E. Neiberger, MD, PHD

  • Pediatric Nephrology Physician
  • Gainesville, FL
National Provider Identifier
1902847999
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
35.138282 Issued in OH
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone
(352) 273-9180
Fax
(352) 392-7107
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X 35.138282 OH Primary
Pediatric Nephrology Physician 2080P0210X ME53540 FL

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Mailing address

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (352) 273-9180

Other identifiers 1

IdentifierTypeStateIssuer
048900000MedicaidFL

Other names 1

  • Richard Eugene Neiberger Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100601000600 FL Practitioner - Pediatric Medicine 5991834988 Reassigns benefits to 1 organization
I20171103001837 PA Practitioner - Pediatric MedicinePractitioner - Nephrology 5991834988 Reassigns benefits to 1 organization
I20200225003086 OH Practitioner - Pediatric MedicinePractitioner - Nephrology 5991834988 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jan 13, 2020 Accepting new patients
Geisinger Clinic CurrentSince Oct 1, 2017 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jun 20, 1988 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jun 20, 1988 Accepting new patients
Geisinger Clinic CurrentSince Oct 1, 2017 Accepting new patients

Locations

1549 Gale Lemerand Dr
Gainesville, FL 32610
Phone (352) 265-0496

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

100 N Academy Ave
Danville, PA 17822

Interoperability endpoints

  • Direct secure messaging: rneiberger10658@direct.shands.ufl.edu

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1902847999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "352-273-9180",
            "fax_number": "352-392-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-273-9180",
            "fax_number": "352-392-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIBERGER",
        "first_name": "RICHARD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "OH",
            "license": "35.138282",
            "primary": true
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "FL",
            "license": "ME53540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048900000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "NEIBERGER",
            "middle_name": "EUGENE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.