Active NPI
Scott M Lieberman, MD
- Interventional Cardiology Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- J6158
- Practice address
- 1783 Troup Hwy
Tyler, TX 75701-5869 - Phone
- (903) 595-2283
- Fax
- (903) 595-1063
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | J6158 | TX | |
| Interventional Cardiology Physician | 207RI0011X | J6158 | TX | Primary |
Addresses
Primary practice location
1783 Troup Hwy
Tyler, TX 75701-5869
Mailing address
1783 Troup Hwy
Tyler, TX 75701-5869
Phone (903) 595-2283
Other practice location 1
2114 E Rusk St
Jacksonville, TX 75766-9052
Phone (903) 595-2283
Other practice location 2
105 N High St
Henderson, TX 75652-3133
Phone (903) 595-2283
Other practice location 3
2116 E Rusk St
Jacksonville, TX 75766-9052
Phone (903) 595-2283
Other practice location 4
105 Zeid Blvd
Henderson, TX 75652-6070
Phone (903) 595-2283
Other practice location 5
502 E Goode St Ste 1E
Quitman, TX 75783-2539
Phone (903) 595-2283
Other practice location 6
707 E Marshall Ave
Longview, TX 75601-5545
Phone (903) 315-5400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1776475 | Medicaid | LA | |
| 045166801 | Other | TX | SMITH COUNTY INDIGENT |
| 060024159 | Other | TX | PALMETTO GBA |
| 060024159 | Other | TX | RAIL ROAD MEDICARE |
| 86K923 | Other | TX | BCBS OF TEXAS |
| 045166801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- New York Medical College, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 -II Medical PLZ
Christus Trinity Clinic
Sulphur Springs, TX 75482-2105
Phone (903) 885-5439
105 Zeid Blvd
Henderson, TX 75652-6070
Phone (903) 595-2283
115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671
127 Medical Dr
Palestine, TX 75801-4781
Phone (903) 723-3300
1302 N Pacific St
Christus Trinity Clinic
Mineola, TX 75773-1022
Phone (903) 569-5383
1505 S Palestine St
Athens, TX 75751-8950
Phone (903) 675-6800
1505 State Hwy 19 S
Christus Trinity Clinic
Athens, TX 75751-8950
Phone (903) 675-1725
1783 Troup Hwy
Tyler, TX 75701-5869
Phone (903) 595-2283
18780 Interstate 20
Canton, TX 75103-3593
Phone (903) 567-4841
20208 State Hwy 155 S
Christus Trinity Clinic
Flint, TX 75762-5600
Phone (903) 825-6222
2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 541-4599
203 W 20TH St
Suite D
Mt Pleasant, TX 75455-2325
Phone (903) 606-7480
2114 E Rusk St
Jacksonville, TX 75766-9052
Phone (903) 595-2283
2116 E Rusk St
Jacksonville, TX 75766-9052
Phone (903) 586-5679
313 W Parker St
Christus Trinity Clinic
Elkhart, TX 75839-7612
Phone (903) 764-5626
3201 S Loop
Palestine, TX 75801-6901
3203 S Main St
Christus Trinity Clinic
Lindale, TX 75771-7727
Phone (903) 266-4000
3593 E Grande Blvd
Christus Trinity Clinic
Tyler, TX 75707-1400
Phone (903) 839-2585
3802 Manhatton Dr
Tyler, TX 75701-9451
Phone (903) 509-8888
511 N High St
Christus Trinity Clinic
Henderson, TX 75652-5985
Phone (903) 657-7583
520 Douglas Blvd
Tyler, TX 75702-8307
Phone (903) 593-1721
5321 S FM
14 Christus Trinity Clinic
Holly Lake Ranch, TX 75765-4839
Phone (903) 769-2990
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
719 W Coke Rd
Christus Trinity Clinic
Winnsboro, TX 75494-3011
Phone (903) 342-5227
Hospital & facility affiliations
- Christus Mother Frances Hospital
- Christus Mother Frances Hospital Sulphur Springs
- Christus Mother Frances Hospital- Jacksonville
- Christus Good Shepherd Medical Center
- Ut Health East Texas Athens Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Cardiovascular Disease | Current | Accepting new patients |
| Mother Frances Hospital Jacksonville | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Tyler ASC, LP | Past | Accepting new patients | |
| Trinity Clinic | Past | Accepting new patients | |
| Youngs Professional Services LLC | Past | Accepting new patients |
Locations
511 N High St
Henderson, TX 75652
Phone (903) 657-7583
105 Zeid Blvd
Henderson, TX 75652
Phone (903) 315-5612
105 N High St
Henderson, TX 75652
Phone (903) 392-8259
2116 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105
2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
707 E Marshall Ave
Longview, TX 75601
Phone (903) 315-4880
502 E Goode St
Ste 1E
Quitman, TX 75783
Phone (903) 763-5402
1783 Troup Hwy
Tyler, TX 75701
Phone 90359522832057
520 Douglas Blvd
Tyler, TX 75702
Phone (903) 510-1175
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Interoperability endpoints
- slieberman355181@ahs.direct-ci.com
- slieberman6669@christushealth.direct-ci.net
Organizations & group practices 6
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.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Cardiovascular Disease
-
dba CHRISTUS Mother Frances Hospital - Jacksonville
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba Trinity Clinic Family Practice
- Family Medicine Physician
- Tyler, TX
- NPI 1922058304
-
dba Tyler Cardiac & Endovascular Surgery Center
- Ambulatory Surgical Clinic/Center
- Tyler, TX
- NPI 1063819860
-
dba YPS Anesthesia Services
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, TX
- NPI 1417465824
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
-
dba Christus Mother Frances - Sulphur Springs
- General Acute Care Hospital
- Sulphur Springs, TX
- NPI 1033568621
-
dba CHRISTUS Mother Frances Hospital - Jacksonville
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1326038159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1783 TROUP HWY",
"city": "TYLER",
"state": "TX",
"postal_code": "757015869",
"telephone_number": "903-595-2283",
"fax_number": "903-595-1063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1783 TROUP HWY",
"city": "TYLER",
"state": "TX",
"postal_code": "757015869",
"telephone_number": "903-595-2283",
"fax_number": "903-595-1063"
}
],
"practiceLocations": [
{
"address_1": "2114 E Rusk St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "TX",
"postal_code": "757669052",
"country_code": "US",
"telephone_number": "903-595-2283",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 N High St",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "TX",
"postal_code": "756523133",
"country_code": "US",
"telephone_number": "903-595-2283",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2116 E Rusk St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "TX",
"postal_code": "757669052",
"country_code": "US",
"telephone_number": "903-595-2283",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 Zeid Blvd",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "TX",
"postal_code": "756526070",
"country_code": "US",
"telephone_number": "903-595-2283",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "502 E Goode St Ste 1E",
"address_purpose": "LOCATION",
"city": "Quitman",
"state": "TX",
"postal_code": "757832539",
"country_code": "US",
"telephone_number": "903-595-2283",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "707 E Marshall Ave",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015545",
"country_code": "US",
"telephone_number": "903-315-5400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIEBERMAN",
"first_name": "SCOTT",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "J6158",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "J6158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1776475",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SMITH COUNTY INDIGENT",
"identifier": "045166801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "060024159",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "060024159",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "86K923",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045166801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
- Liberty County Hospital District No. 1 (The Heights of Tyler)
- Liberty County Hospital District No. 1 (Greenbrier Nursing & Rehabilitation Center of Tyler)
- Jamie Librizzi, M.D.
- Jalicsa Gemahi Licerio, LVN
- Nancy S. Lieb, M.D.
- Ellisiv Lien, MD
- Lifeguard Family Health L.L.C. (Heuser Chiropractic)
- Lifeline Therapy Services
- Lifetime Health Center
- Krystal Gayle Lilley, LVN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.