Active NPI
Lawrence S. Liebman, M.D.
- Diagnostic Radiology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 148303-1
- Practice address
- 3600 Minnesota Dr
Edina, MN 55435-7979 - Phone
- (952) 595-1301
- Fax
- (612) 294-4903
- NPI assigned
- May 31, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 311118 | LA | |
| Diagnostic Radiology Physician | 2085R0202X | 148303-1 | NY | Primary |
Addresses
Primary practice location
3600 Minnesota Dr
Edina, MN 55435-7979
Mailing address
3600 Minnesota Dr
Edina, MN 55435-7979
Phone (952) 595-1301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Texas Medical Branch at Galveston, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
New York, NY 10162
Phone (856) 229-0696
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480
167 Main St
Tcrhcc Mobile Medical Clinic
Tuba City, AZ 86045-0600
Phone (928) 283-2501
167 N Main St
Tuba City, AZ 86045-0600
Phone (928) 283-2094
5 Harrison CT
Cortlandt Manor, NY 10567-7022
Phone (623) 299-8743
500 E 77TH St
Apt 524
New York, NY 10162-0002
Phone (952) 595-1100
845 United Nations PLZ
Apt 47D
New York, NY 10017-3535
Phone (832) 915-2534
P O Box
Suite 600
Tuba City, AZ 86045-0600
Hospital & facility affiliations
- Bassett Healthcare
- Jefferson Stratford Hospital
- University Hospital S U N Y Health Science Center
- University of California Davis Medical Center
- Overlook Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148303 | NY | MD | Licensed Practical Nurse |
| 311118 | LA | MD | Diagnostic Radiology Physician |
| 148303-1 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Community Health Center Inc | Current | Accepting new patients | |
| Pacific County Hospital District 2 | Current | Accepting new patients | |
| Ton San Xavier Health Center | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| The Fort Defiance Indian Hospital Board, Incorporation | Current | Accepting new patients | |
| Radiology Associates of Burlington County P a | Diagnostic Radiology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Diagnostic Radiology | Current | Accepting new patients |
| Ton Sells Hospital | Current | Accepting new patients | |
| Regents of the Univ of Ca | Diagnostic Radiology | Current | Accepting new patients |
| Casa Colina Hospital and Centers for Healthcare | Current | Accepting new patients | |
| Claremont Imaging Associates, a Medical Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Virtual Radiologic Professionals of New York, P.a. | Diagnostic Radiology | Current | Accepting new patients |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| South Jersey Radiology Associates P a | Diagnostic Radiology | Current | Accepting new patients |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Ton San Simon Health Center | Current | Accepting new patients | |
| Virtual Radiologic Professionals of Texas I, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| Tulane University Medical Group | Past | Accepting new patients | |
| Ton San Xavier Health Center | Past | Accepting new patients | |
| Ton Sells Hospital | Past | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Past | Accepting new patients |
Locations
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285
1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715
37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000
7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550
255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
4868 X St
Sacramento, CA 95817
Phone (916) 703-1503
11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143
3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
130 North St
Walton, NY 13856
Phone (607) 865-6541
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCFJBA
- casacolina@direct.casacolina.org
Organizations & group practices 25
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.
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1558455600
NY
-
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Diagnostic Radiology, NY
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
TX
-
- Diagnostic Radiology Physician
- Pomona, CA
- NPI 1619068921
NY
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Critical Access Hospital
- South Bend, WA
- NPI 1295708683
-
- Diagnostic Radiology Physician
- Mount Holly, NJ
- NPI 1255385183
NY
-
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1477876639
TX
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Summit, NJ
- NPI 1740254143
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
-
- Rural Acute Care Hospital
- Cooperstown, NY
- NPI 1780600577
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1033377478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 MINNESOTA DR",
"city": "EDINA",
"state": "MN",
"postal_code": "554357979",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 MINNESOTA DR",
"city": "EDINA",
"state": "MN",
"postal_code": "554357979",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBMAN",
"first_name": "LAWRENCE",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-31",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "311118",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "148303-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.