David Liebow, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0560000157 Issued in VT

Practice address

382 Canal St
Brattleboro, VT 05301-6617

Phone

(802) 254-0202

Fax

(802) 246-1300

NPI assigned

Oct 26, 2005

Last updated

May 9, 2011By the provider in NPPES

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 4

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dandk Liebow LLCGroup PAC ID 0749289247, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brattleboro Memorial Hospital Hospital, Brattleboro, VT, CCN 470011
• Grace Cottage Hospital Hospital, Townshend, VT, CCN 471300

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dliebow@svp-vt.direct.office.nextgen.com

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.

• D&K Liebow LLC

  dba Southern Vermont Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Brattleboro, VT
  • NPI 1184645723
  Medicare reassignment Care Compare group Authorized official
• Carlos G. Otis Health Care Center Inc.

  dba Grace Cottage Hospital

  • Critical Access Hospital
  • Townshend, VT
  • NPI 1255337473
  NPD (past)
• Grace Urological Inc

  • Urology Physician
  • Brattleboro, VT
  • NPI 1699819227
  NPD (past)

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

• Brattleboro Memorial Hospital

  • General Acute Care Hospital
  • Brattleboro, VT
  • NPI 1306849708
  Care Compare affiliation
• Carlos G. Otis Health Care Center Inc.

  dba Grace Cottage Hospital

  • Critical Access Hospital
  • Townshend, VT
  • NPI 1255337473
  Care Compare affiliation

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1245220615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013020910",
            "telephone_number": "413-772-8500",
            "fax_number": "413-772-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 CANAL ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016617",
            "telephone_number": "802-254-0202",
            "fax_number": "802-246-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBOW",
        "first_name": "DAVID",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VT",
            "license": "0560000157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS VT",
            "identifier": "19943",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007741",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN0942",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "78569",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Whiteoak Lee, MACOM
• Rachel Lempert, RN
• Heather A Lesage-Horton, M.D.
• David F. Levingston, M.A.
• Thomas Walter Lewis, M.D.
• Kimberly Liebow, D.P.M.
• Life Circle Family Practice, P.C.
• Lincare Inc.
• Lisa Kate Lcmhc LLC
• Harvey Liss, PSY.D.

• Podiatrist in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Podiatrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.