Individual provider Active NPI

Stephen J Lieman, M.D.

  • Urology Physician
  • Plano, TX
National Provider Identifier
1114981727
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
F5620 Issued in TX
Practice address
5300 W Plano Pkwy
Plano, TX 75093-4821
Phone
(972) 612-8037
Fax
(972) 867-6049
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X F5620 TX Primary

Addresses

Primary practice location

5300 W Plano Pkwy
Plano, TX 75093-4821

Mailing address

5300 W Plano Pkwy Ste 200
Plano, TX 75093-4861
Phone (972) 612-8037

Other identifiers 1

IdentifierTypeStateIssuer
098625901MedicaidTX

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
I20100622000801 TX Practitioner - Urology 7517856354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F5620TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Dallas Urology Associates Urology CurrentSince Jun 9, 1992 Accepting new patients

Locations

5300 W Plano Pkwy
Ste 200
Plano, TX 75093
Phone (972) 612-8037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIFHAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1114981727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W PLANO PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934861",
            "telephone_number": "972-612-8037",
            "fax_number": "972-867-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934821",
            "telephone_number": "972-612-8037",
            "fax_number": "972-867-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEMAN",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "F5620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098625901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.