Individual provider Active NPI

Sofia Ana Lieser, M.D.

  • Obstetrics & Gynecology Physician
  • Grapevine, TX
National Provider Identifier
1033353099
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
Q4178 Issued in TX
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

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0082670MedicaidOH
1033353099OtherOHBWC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160502000866 TX Practitioner - Obstetrics/Gynecology 0042450454 Reassigns benefits to 3 organizations

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
OB/GYN of North Texas LLPGroup PAC ID 8426219403, 4 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

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 Hospital, Grapevine, TX, CCN 450563

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Dec 1, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Dec 1, 2025 Accepting new patients
Healthtexas Provider Network Obstetrics & Gynecology Current Accepting new patients
Sofia a Lieser MD PLLC Obstetrics & Gynecology CurrentSince Mar 6, 2016 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.