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LIBERATO SALVATORE M.D.
NPI 1164457495
Internal Medicine in Bayside, NY

Active since July 12, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D0932403 · Certificate of Compliance
36-35 BELL BLVD., SUITE 100, BAYSIDE, NY 11361(718) 224-2199(718) 224-3060 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Liberato Salvatore M.d. NPPES

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

LIBERATO SALVATORE M.D. (NPI 1164457495) is an individual internal medicine provider in Bayside, New York, licensed in New York (176514) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through March 26, 2027, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1164457495
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameLIBERATO SALVATORECredential: M.D.
Location Address36-35 BELL BLVD., SUITE 100Bayside, NY 11361
Mailing Address36-35 Bell Blvd., Suite 100Bayside, NY 11361 · (718) 224-2199 · Fax (718) 224-3060
Phone(718) 224-2199
Fax(718) 224-3060
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 12, 2006
Last NPPES UpdateDecember 1, 2011
✔ NPI 1164457495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 176514
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 176514 (NY)
36-35 BELL BLVD., Bayside, NY 11361
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Other Identifiers 6

Medicaid01355100NY
Medicare ID-Type Unspecified0271FJNY
Medicare UPINF25733NY
Medicare UPINF25733
Medicare PIN00474A
Medicare PIN02711CNY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Liberato Salvatore M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547444671
PECOS Enrollment IDI20110413000765
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0932403

Liberato Salvatore MD · Bayside, NY
Active · expires Mar 26, 2027
CLIA Number33D0932403
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Leili M. Mirsadraei
Laboratory Phone(718) 224-2199
Laboratory LocationLiberato Salvatore MD36-35 Bell Boulevard Suite 100, Bayside, NY 11361
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services46 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11361 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberato Salvatore's NPI number?

The NPI number for Liberato Salvatore is 1164457495. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Liberato Salvatore located?

Liberato Salvatore practices at 36-35 Bell Blvd. Suite 100, Bayside, NY 11361. The listed phone number is (718) 224-2199.

What is Liberato Salvatore's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Liberato Salvatore enrolled in Medicare?

Yes. Liberato Salvatore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Liberato Salvatore hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0932403) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Liberato Salvatore was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.