Matthew Aaron Liebentritt, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

41855 Issued in CO

Practice address

12169 Sheridan Blvd
Broomfield, CO 80020-2459

Phone

(303) 603-9400

Fax

(303) 603-9420

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

Philadelphia College of Osteopathic Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians

Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Homecare - Denver Home health agency, Denver, CO, CCN 067201
• Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mliebentritt7041@direct.intermountainhealth.org

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.

• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083
  Medicare reassignment Care Compare group NPD
• Intermountain Front Range, Inc.

  dba Intermountain Lutheran Hospital - APC

  • Internal Medicine Physician
  • Wheat Ridge, CO
  • NPI 1083444079
  Medicare reassignment NPD
• Matthew a Liebentritt, DO

  • Primary Care Clinic/Center
  • Broomfield, CO
  • NPI 1629237052
  NPD (past) Authorized official
• Intermountain Front Range, Inc.

  dba Lutheran Hospital - Breast Care Center

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1619706249
  NPD
• Intermountain Front Range, Inc.

  dba Cancer Centers of Colorado - Lutheran Medical Center - Radiation Onc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Wheat Ridge, CO
  • NPI 1649210188

  Family Medicine

  NPD
• Intermountain Medical Group Denver, LLC

  dba Orthopedic Centers of Colorado - Saint Joseph

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Intermountain Medical Group Denver, LLC

  dba Intermountain Health Heart & Vascular - Wheat Ridge Clinic

  • Cardiovascular Disease Physician
  • Wheat Ridge, CO
  • NPI 1437768124
  NPD
• Marc H Tanenbaum MD PC

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1598964785
  NPD (past)
• Patrick R. Cavanaugh, DO

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1184823346
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Medical Center, LLC

  dba Good Samaritan Medical Center

  • General Acute Care Hospital
  • Lafayette, CO
  • NPI 1407845035
  Care Compare affiliation
• SCL Front Range Home Health, LLC

  dba Intermountain Health Homecare - Denver

  • Home Health Agency
  • Denver, CO
  • NPI 1609863984
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1053488007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12169 SHERIDAN BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202459",
            "telephone_number": "303-603-9400",
            "fax_number": "303-603-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12169 SHERIDAN BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202459",
            "telephone_number": "303-603-9400",
            "fax_number": "303-603-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBENTRITT",
        "first_name": "MATTHEW",
        "middle_name": "AARON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82778868",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00462907",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly J Lewan, PT
• Shannon M Lewis
• Eric W Liang, PHARMD
• Judith Libby-Lauwereins, MS, LMFT
• Liberty Drug LLC (Liberty Drug)
• Susanne Liebman, LCSW
• Audrey Lietar
• Life Alive Chiropractic LLC
• Lifetime Healthcare & Medical
• Ani S. Liggett, PH.D.

• Family Medicine Physician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.

Verify at the official NPI Registry.