Individual provider Active NPI

Scott M Lieberman, MD

  • Interventional Cardiology Physician
  • Tyler, TX
National Provider Identifier
1326038159
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
J6158 Issued in TX
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

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1776475MedicaidLA
045166801OtherTXSMITH COUNTY INDIGENT
060024159OtherTXPALMETTO GBA
060024159OtherTXRAIL ROAD MEDICARE
86K923OtherTXBCBS OF TEXAS
045166801MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090825000142 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3870645005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
New York Medical College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Cardiovascular Disease CurrentSince Mar 1, 2023 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Jan 1, 2026 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 1, 2023 Accepting new patients
Tyler ASC, LP PastSince Sep 24, 2014 Accepting new patients
Trinity Clinic Past Accepting new patients
Youngs Professional Services LLC PastSince Jul 14, 2009 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

  • Direct secure messaging: slieberman355181@ahs.direct-ci.com
  • Direct secure messaging: 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.

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": "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

Sources for this page

Verify at the official NPI Registry.