Individual provider Active NPI

Barthelemy Liabaud, M.D.

  • Interventional Pain Medicine Physician
  • New York, NY
National Provider Identifier
1235592239
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
311524 Issued in NY
Practice address
860 5TH Ave
New York, NY 10065-5856
Phone
(347) 931-7239
NPI assigned
Mar 29, 2016
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 311524 NY Primary

Addresses

Primary practice location

860 5TH Ave
New York, NY 10065-5856

Mailing address

313 E 73Rd St
Apartment Garden
New York, NY 10021-9406
Phone (347) 931-7239

Other practice location 1

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20221214002758 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 5395114318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spine and Pain Consultant PLLCGroup PAC ID 8921158957, 6 clinicians

Practice addresses (Care Compare)

860 5TH Ave
Suite 1B
New York, NY 10065-5856
Phone (718) 667-3577

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
49.46 of 100Reported as group
Quality
66.85
Improvement activities
0
Cost
70.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince May 20, 2023 Accepting new patients
Spine and Pain Consultant, PLLC Interventional Pain Medicine CurrentSince Nov 17, 2022 Accepting new patients
New York University Current Accepting new patients
New York University CurrentSince May 20, 2023 Accepting new patients
Specialty Anesthesia, PLLC Past Accepting new patients

Locations

1513 Voorhies Ave
Brooklyn, NY 11235
Phone (718) 332-7878

1 Hollow Ln
Ste 102
New Hyde Park, NY 11042
Phone (516) 502-1897

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

1360 Hylan Blvd
Staten Island, NY 10305
Phone (718) 987-7300

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: bliabaud462525@nyumc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1235592239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E 73RD ST",
            "address_2": "APARTMENT GARDEN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100219406",
            "telephone_number": "347-931-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100655856",
            "telephone_number": "347-931-7239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-270-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIABAUD",
        "first_name": "BARTHELEMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "311524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.