Individual provider Active NPI

Eric David Libby, M.D.

  • Gastroenterology Physician
  • Winchester, MA
National Provider Identifier
1922048016
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
79352 Issued in MA
Practice address
955 Main St
Winchester, MA 01890-4302
Phone
(781) 729-5855
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 79352 MA Primary

Addresses

Primary practice location

955 Main St
Winchester, MA 01890-4302

Mailing address

955 Main St
Suite 206
Winchester, MA 01890-4302
Phone (781) 729-5855

Other identifiers 5

IdentifierTypeStateIssuer
303380OtherHARVARD PILGRIM HEALTH
J30490OtherMABLUE CROSS & BLUE SHIELD
509647OtherMAUS HEALTH
079352OtherMATUFTS HEALTH
3126072MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050901000787 MA Practitioner - Gastroenterology 1254363948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Harvard Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Health Associates P.C.Group PAC ID 8527017268, 9 clinicians

Practice addresses (Care Compare)

91 Montvale Ave
Suite 206
Stoneham, MA 02180-3649
Phone (781) 518-9053

Hospital & facility affiliations

  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

Merit-based Incentive Payment System (MIPS)

Final score
82.95 of 100Reported as group
Quality
73.22
Promoting interoperability
93
Improvement activities
40
Cost
75.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy103
Upper gastrointestinal (GI) endoscopy for acid reflux94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79352MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dha Endoscopy LLC Gastroenterology CurrentSince Nov 21, 2006 Accepting new patients
Dha Endoscopy LLC CurrentSince Nov 21, 2006 Accepting new patients
Digestive Health Associates P.C. Gastroenterology CurrentSince Jun 30, 1994 Accepting new patients
Dha Pho-W LLC Gastroenterology Past Accepting new patients

Locations

91 Montvale Ave
Ste 206
Stoneham, MA 02180
Phone (781) 518-9053

91 Montvale Ave
Ste 103
Stoneham, MA 02180
Phone (781) 835-2111

955 Main St
Ste 206
Winchester, MA 01890
Phone (781) 729-5855

955 Main St
Winchester, MA 01890
Phone (781) 729-1900

Interoperability endpoints

  • Direct secure messaging: ericlibby@digestiveh.allscriptsdirect.net

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1922048016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MAIN ST",
            "address_2": "SUITE 206",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904302",
            "telephone_number": "781-729-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904302",
            "telephone_number": "781-729-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "ERIC",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "79352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "303380",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "J30490",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTH",
            "identifier": "509647",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH",
            "identifier": "079352",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3126072",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.