Organization Active NPI

Steven J Lieberson DPM, PC

  • Foot & Ankle Surgery Podiatrist
  • Sugar Land, TX
National Provider Identifier
1063427938
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0700 Issued in TX
Legal business name
STEVEN J LIEBERSON DPM, PC
Practice address
4780 Sweetwater Blvd Ste 100
Sugar Land, TX 77479-3163
Phone
(281) 242-3233
Fax
(713) 654-7095
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Authorized official

Name
Steven J Lieberson, MDNPI 1477573350
Title
Owner
Phone
(281) 242-3233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0700 TX Primary

Addresses

Primary practice location

4780 Sweetwater Blvd Ste 100
Sugar Land, TX 77479-3163

Mailing address

PO Box 16729
Sugar Land, TX 77496-6729
Phone (281) 242-3233

Other identifiers 1

IdentifierTypeStateIssuer
018766801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110414000295 TX Part B Supplier - Clinic/Group Practice 5496872418 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

1315 St Joseph Pkwy
Ste 10
Houston, TX 77002
Phone (713) 654-1955

17510 W Grand Pkwy S
Ste 340
Sugar Land, TX 77479
Phone (281) 342-7111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1063427938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16729",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774966729",
            "telephone_number": "281-242-3233",
            "fax_number": "713-654-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 SWEETWATER BLVD STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793163",
            "telephone_number": "281-242-3233",
            "fax_number": "713-654-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN J LIEBERSON DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "LIEBERSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-242-3233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018766801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.