DR. LEO GRIBELYUK M.D., M.B.A.
NPI 1134461858
Student in an Organized Health Care Education/Training Program in Lebanon, NH

Q: What is Leo Gribelyuk's NPI number?

The NPI number for Leo Gribelyuk is 1134461858. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Q: What is Leo Gribelyuk's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Leo Gribelyuk was last updated on July 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2013PECOS Enrolled

1 MEDICAL DR DEPT OF, LEBANON, NH 03756(603) 650-7692 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2023, Apr 22, 2019 (2 updates tracked since 2019).

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About Dr. Leo Gribelyuk M.d., M.b.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEO GRIBELYUK M.D., M.B.A. (NPI 1134461858) is an individual student in an organized health care education/training program in Lebanon, New Hampshire and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1134461858

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. LEO GRIBELYUKCredential: M.D., M.B.A.

Location Address1 MEDICAL DR DEPT OFLebanon, NH 03756-1000

Mailing Address1 Medical Dr Dept OfLebanon, NH 03756-1000

Phone(603) 650-7692

Sole ProprietorNo

Enumeration DateMarch 20, 2013

Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration

NPPES CertifiedJuly 17, 2023

✔ NPI 1134461858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 MEDICAL DR DEPT OF, Lebanon, NH 03756

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Secondary Practice Location 1

Location 1601 Elmwood Ave, Box 661Rochester, NY 14642-0001 · Phone (585) 273-3656

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leo Gribelyuk M.d., M.b.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN JOHN HANUSEK