Individual provider Active NPI

Matthew I Leibman, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Newton, MA
National Provider Identifier
1285680330
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
220082 Issued in MA
Practice address
2000 Washington Street
Blue 201
Newton, MA 02462
Phone
(617) 965-4263
Fax
(617) 928-0597
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 220082 MA
Surgery of the Hand (Surgery) Physician 2086S0105X 220082 MA Primary

Addresses

Primary practice location

2000 Washington Street
Blue 201
Newton, MA 02462

Mailing address

2000 Washington Street
Blue 201
Newton, MA 02462
Phone (617) 965-4263

Other identifiers 1

IdentifierTypeStateIssuer
2069491MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040804001171 MA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 1658360102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
New York University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Hand to Shoulder PCGroup PAC ID 4284673542, 10 clinicians

Practice addresses (Care Compare)

159 Wells Ave
Suite 500
Newton, MA 02459-3301
Phone (617) 965-4263

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)36
Melanoma (skin cancer) excision13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Hand to Shoulder PC Hand Surgery CurrentSince Apr 5, 2005 Accepting new patients
Newton Wellesley Hospital Current Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Jul 1, 2022 Accepting new patients

Locations

2000 Washington St
Ste 563
Newton, MA 02462
Phone (617) 219-1285

159 Wells Ave
Ste 500
Newton Center, MA 02459
Phone (617) 965-4263

2000 Washington St
Ste 201
Newton Lower Falls, MA 02462
Phone (617) 244-2855

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

Interoperability endpoints

  • Direct secure messaging: leibman.matthew.hspc@direct.partners.masshiway.net

Organizations & group practices 3

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 3

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1285680330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON STREET",
            "address_2": "BLUE 201",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02462",
            "telephone_number": "617-965-4263",
            "fax_number": "617-928-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON STREET",
            "address_2": "BLUE 201",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02462",
            "telephone_number": "617-965-4263",
            "fax_number": "617-928-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBMAN",
        "first_name": "MATTHEW",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MA",
            "license": "220082",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "MA",
            "license": "220082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2069491",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.