Individual provider Active NPI

Joshua David Liberman, M.D.

  • Cardiovascular Disease Physician
  • Mequon, WI
National Provider Identifier
1265551196
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
51496 Issued in WI
Practice address
11725 N Port Washington Rd Ste 250
Mequon, WI 53092-3486
Phone
(414) 207-4333
Fax
(888) 720-0492
NPI assigned
Mar 29, 2007
Last updated
Jul 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 51496 WI Primary

Addresses

Primary practice location

11725 N Port Washington Rd Ste 250
Mequon, WI 53092-3486

Mailing address

11725 N Port Washington Rd Ste 250
Mequon, WI 53092-3486
Phone (414) 207-4333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jliberman1282171@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20080910000555 WI Practitioner - Cardiovascular Disease (Cardiology) 1355366402 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Boston University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agnesian Healthcare IncGroup PAC ID 1658289624, 392 clinicians
Wisconsin Health FundGroup PAC ID 3072401298, 27 clinicians

Practice addresses (Care Compare)

11725 N Port Washington Rd
Suite 250
Mequon, WI 53092-3486
Phone (414) 207-4333

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

620 W Brown St
Waupun, WI 53963-1702
Phone (920) 324-6531

6200 W Bluemound Rd
Milwaukee, WI 53213-4145
Phone (414) 771-5600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51496WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Aug 1, 2008 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Agnesian Healthcare, Inc Current Accepting new patients
Agnesian Healthcare Inc CurrentSince Apr 23, 2024 Accepting new patients
Thedacare, Incorporated CurrentSince Jul 2, 2024 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Aug 1, 2008 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Dec 19, 2022 Accepting new patients
Wisconsin Health Fund CurrentSince Jun 1, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Dec 19, 2022 Accepting new patients
Agnesian Healthcare Inc CurrentSince Apr 23, 2024 Accepting new patients
Wisconsin Cardiology Associates, SC Cardiovascular Disease CurrentSince Nov 1, 2022 Accepting new patients

Locations

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

360 S Mountin Dr
Mayville, WI 53050
Phone (920) 387-2111

11725 N Port Washington Rd
Ste 250
Mequon, WI 53092
Phone (262) 240-9640

2350 N Lake Dr
Ste 400
Milwaukee, WI 53211
Phone (414) 271-1633

6200 W Bluemound Rd
Milwaukee, WI 53213
Phone (414) 479-3668

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

620 W Brown St
Waupun, WI 53963
Phone (920) 324-5581

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJCJCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJCJCD/Endpoint/HJCJCD
  • Direct secure messaging: jliberman1282171@direct.uwhealth.org
  • Direct secure messaging: jliberman341770@direct.thedacare.org
  • Direct secure messaging: jliberman508278@direct-ehr-ssmhc.com
  • Direct secure messaging: jliberman925000@direct.unitypoint.org

Organizations & group practices 11

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 5

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1265551196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11725 N PORT WASHINGTON RD STE 250",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923486",
            "telephone_number": "414-207-4333",
            "fax_number": "888-720-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 N PORT WASHINGTON RD STE 250",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923486",
            "telephone_number": "414-207-4333",
            "fax_number": "888-720-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERMAN",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "51496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jliberman1282171@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537920001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

Verify at the official NPI Registry.