NPIMap

Individual provider Active NPI

Kent A Lieber, M. D.

  • Family Medicine Physician
  • Buffalo, NY
National Provider Identifier
1265455109
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
170279 Issued in NY
Practice address
565 Abbott Rd
Buffalo, NY 14220-2039
Phone
(716) 864-6842
Fax
(716) 568-8455
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 170279 NY Primary

Addresses

Primary practice location

565 Abbott Rd
Buffalo, NY 14220-2039

Mailing address

PO Box 2774
Buffalo, NY 14240-2774
Phone (716) 864-6842

Other identifiers 3

IdentifierTypeStateIssuer
6409389OtherNYIHA
000510481002OtherNYCOMM BLUE
01192474MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051207000292 NY Practitioner - Family PracticePractitioner - General Practice 0042204000 Reassigns benefits to 4 organizations
Receives reassigned benefits from 2 practitioners
Practice locations: Buffalo, NY; Machias, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statline Medical PCGroup PAC ID 7214333525, 10 clinicians

Practice addresses (Care Compare)

200 White Plains Rd
Suite 110
Tarrytown, NY 10591-5805
Phone (914) 215-4748

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 826-7000

9822 Route 16
Machias, NY 14101-9771
Phone (716) 353-8516

Hospital & facility affiliations

  • Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229
  • Olean General Hospital Hospital, Olean, NY, CCN 330103
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • The Pines Healthcare & Rehab CTRS Machias Campus Nursing home, Machias, NY, CCN 335578
  • Elderwood at Hamburg Nursing home, Hamburg, NY, CCN 335679
  • Dunkirk Rehabilitation & Nursing Center Nursing home, Dunkirk, NY, CCN 335595
  • Eden Rehabilitation Nursing Center Nursing home, Eden, NY, CCN 335607

Merit-based Incentive Payment System (MIPS)

Final score
24.34 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Immediate Medical Care LLC CurrentSince Oct 25, 2012 Accepting new patients
Lake Erie Medical Services, PC CurrentSince Nov 4, 2024 Accepting new patients
Statline Medical PC CurrentSince Jan 12, 2026 Accepting new patients
Digital House Call Inc Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Dec 1, 2014 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Dec 1, 2014 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Mercy Hospital of Buffalo CurrentSince Sep 1, 2013 Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Oct 25, 2012 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Sep 1, 2013 Accepting new patients
Edrnc Operating LLC Past Accepting new patients
Family Health Medical Services Jamestown Convenience Care Family Medicine Past Accepting new patients
County of Cattaraugus Past Accepting new patients
5775 Maelou Drive Operating Company LLC Past Accepting new patients
Dunkirk Operating, LLC Past Accepting new patients
Durnc Operating LLC Past Accepting new patients
County of Cattaraugus County Treasurer PastSince Feb 1, 2025 Accepting new patients

Locations

2099 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 204-2273

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

447 Lake Shore Dr W
Dunkirk, NY 14048
Phone (716) 366-6710

268 W Main St
Ste 2
Fredonia, NY 14063
Phone (716) 672-2000

100 Miller St
Gowanda, NY 14070
Phone (716) 532-5700

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

451 Broad St
Salamanca, NY 14779
Phone (716) 945-1800

200 White Plains Rd
Ste 110
Tarrytown, NY 10591
Phone (914) 848-4343

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Pines Healthcare & Rehabilitation CenterMachias, NY, CCN 335578 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2011
Feb 1, 2025
Chautauqua Nursing and Rehabilitation CenterDunkirk, NY, CCN 335485 Skilled nursing facility Contracted Managing Employee Jan 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

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

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 11

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1265455109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2774",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142402774",
            "telephone_number": "716-864-6842",
            "fax_number": "716-568-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ABBOTT RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202039",
            "telephone_number": "716-864-6842",
            "fax_number": "716-568-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBER",
        "first_name": "KENT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "170279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "6409389",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM BLUE",
            "identifier": "000510481002",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01192474",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.