Active NPI
Sofia Ana Lieser, M.D.
- Obstetrics & Gynecology Physician
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- Q4178
- Practice address
- 1600 W College St Ste 540
Grapevine, TX 76051-3589 - Phone
- (817) 481-5863
- Fax
- (817) 329-8561
- NPI assigned
- Apr 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35120978 | OH | |
| Obstetrics & Gynecology Physician | 207V00000X | Q4178 | TX | Primary |
Addresses
Primary practice location
1600 W College St Ste 540
Grapevine, TX 76051-3589
Mailing address
1600 W College St Ste 540
Grapevine, TX 76051-3589
Phone (817) 481-5863
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0082670 | Medicaid | OH | |
| 1033353099 | Other | OH | BWC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Baylor College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 W College St
Grapevine, TX 76051-3589
Phone (817) 481-5863
1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440
2020 W State Hwy 114 320
Baylor Scott and White Family Med Ctr Riversi
Grapevine, TX 76051-8650
Phone (817) 912-8330
2020 W State Hwy 114 340
Baylor Scott and White
Grapevine, TX 76051-8650
Phone (214) 820-8350
4001 Worth St
Dallas, TX 75246-1608
5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920
Hospital & facility affiliations
- Baylor Scott & White Medical Center Grapevine
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Obstetrics & Gynecology | Current | Accepting new patients |
| Sofia a Lieser MD PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
1600 W College St
Ste 540
Grapevine, TX 76051
Phone (817) 481-4863
Interoperability endpoints
- slieser459103@direct.sw.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Grapevine, TX
- NPI 1548215908
-
- Obstetrics & Gynecology Physician
- Grapevine, TX
- NPI 1598136731
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1295628709
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1033353099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W COLLEGE ST STE 540",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513589",
"telephone_number": "817-481-5863",
"fax_number": "817-329-8561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W COLLEGE ST STE 540",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513589",
"telephone_number": "817-481-5863",
"fax_number": "817-329-8561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIESER",
"first_name": "SOFIA",
"middle_name": "ANA",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35120978",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "Q4178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0082670",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC",
"identifier": "1033353099",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.