Maria Livieratos, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301064240 Issued in MI

Practice address

1501 Waterford Pkwy Ste B
Saint Johns, MI 48879-9631

Phone

(989) 534-2353

Fax

(989) 534-2352

NPI assigned

Oct 17, 2006

Sex

Female

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 1

Other names 1

• Mrs. Maria Livieratos-Dobbins Other name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Family Practice

Education

Wayne State University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Healthcare Hospital, Owosso, MI, CCN 230121

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: m.livieratos@memorialhealthcare.midirect.net

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.

• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1235160532

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Maria Livieratos MD PLLC

  • Family Medicine Physician
  • Clarkston, MI
  • NPI 1952504987
  NPD (past) Authorized official
• Marlette Regional Hospital

  • Rural Health Clinic/Center
  • Marlette, MI
  • NPI 1235333931

  Family Medicine

  NPD
• Marlette Regional Hospital

  • Family Medicine Physician
  • Marlette, MI
  • NPI 1730988999
  NPD
• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1316008006

  Family Medicine

  NPD
• Memorial Hospital

  • Anesthesiology Physician
  • Owosso, MI
  • NPI 1659527737
  NPD

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

• Memorial Hospital

  • General Acute Care Hospital
  • Owosso, MI
  • NPI 1063414233
  Care Compare affiliation

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1316028400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WATERFORD PKWY STE B",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799631",
            "telephone_number": "989-534-2353",
            "fax_number": "989-534-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WATERFORD PKWY STE B",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799631",
            "telephone_number": "989-534-2353",
            "fax_number": "989-534-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVIERATOS",
        "first_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301064240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316028400",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "LIVIERATOS-DOBBINS",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steve Ralph Lasater, M.D.
• Carol Lecureaux, PHARM.D.
• Betsy Ann Levand, PA-C
• Polly A Lilleboe, MD
• Megan Ling
• Mary Luchies, PHD, LP
• Eric L Luttig, DPT
• John S Macdonald, MD
• Vanessa Lee Mann, DNP, FNP-BC
• Dawn Marie Martin, NP

• Family Medicine Physician in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.