Individual provider Active NPI

Karl F Liebermann, D.O.

  • Addiction Medicine (Preventive Medicine) Physician
  • Northborough, MA
National Provider Identifier
1346353687
Registry record updated Feb 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
249400 Issued in MA
Practice address
112 Main St Ste 104
Northborough, MA 01532-2388
Phone
(508) 691-6086
Fax
(508) 691-6089
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 249400 MA
Family Medicine Physician 207Q00000X 1858 ME
Addiction Medicine (Family Medicine) Physician 207QA0401X 249400 MA
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 249400 MA Primary

Addresses

Primary practice location

112 Main St Ste 104
Northborough, MA 01532-2388

Mailing address

112 Main St Ste 104
Northborough, MA 01532-2388
Phone (508) 691-6086

Other identifiers 4

IdentifierTypeStateIssuer
5996726002OtherCIGNA
432373499MedicaidME
4218213OtherAETNA HMO
AA3544OtherHARVARD PILGRIM

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
I20120209000725 MA Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Addiction MedicinePractitioner - Emergency Medicine 1052340106 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine, Emergency Medicine, Osteopathic Manipulative Medicine
Education
University of New England, College of Osteo Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

112 Main St
Suite 104
Northborough, MA 01532-1914
Phone (508) 691-6086

Hospital & facility affiliations

  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1858MEMDFamily Medicine Physician
249400MAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Massachusetts, Inc Family Medicine CurrentSince Sep 13, 2017 Accepting new patients
Lianne Inc Family Medicine CurrentSince Jun 1, 2017 Accepting new patients
Coastal Maine Chiropractic Center, P.C. CurrentSince Jul 25, 2007 Accepting new patients
Pax Healing, LLC CurrentSince Jun 1, 2025 Accepting new patients
Bond Medical Consultants, PC Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
Sound Physicians of Massachusetts Inc Family Medicine CurrentSince Sep 13, 2017 Accepting new patients
Pax Healing LLC CurrentSince Nov 24, 2025 Accepting new patients
High Point Treatment Center Inc. CurrentSince Jun 12, 2023 Accepting new patients
Sound Physicians of Massachusetts II PC CurrentSince Dec 1, 2017 Accepting new patients

Locations

30 Meadowbrook Rd
Brockton, MA 02301
Phone (508) 408-6190

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

1234 Hyde Park Ave
Hyde Park, MA 02136
Phone (617) 364-2420

72 Kilburn St
New Bedford, MA 02740
Phone (774) 213-8448

1233 State Rd
Plymouth, MA 02360
Phone (508) 224-6527

150 York St
Stoughton, MA 02072
Phone (781) 297-1101

95 Lincoln St
Worcester, MA 01605
Phone (508) 453-3053

107 Lincoln St
Worcester, MA 01605
Phone (508) 453-3028

130 Oak St
Ste 6
Ellsworth, ME 04605
Phone (207) 664-2985

Interoperability endpoints

  • Direct secure messaging: karl.liebermann@15824216981508.direct.elationemr.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1346353687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MAIN ST STE 104",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322388",
            "telephone_number": "508-691-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAIN ST STE 104",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322388",
            "telephone_number": "508-691-6086",
            "fax_number": "508-691-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMANN",
        "first_name": "KARL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "249400",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1858",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MA",
            "license": "249400",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "MA",
            "license": "249400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5996726002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432373499",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "4218213",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA3544",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

Verify at the official NPI Registry.