Individual provider Active NPI

Martin S Liberman, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1376530006
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G26857 Issued in CA
Practice address
1661 Pine Street
San Francisco Towers, Outpatient Clinic
San Francisco, CA 94109-0401
Phone
(415) 447-5571
Fax
(415) 447-5575
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G26857 CA
Internal Medicine Physician 207R00000X G26857 CA Primary

Addresses

Primary practice location

1661 Pine Street
San Francisco Towers, Outpatient Clinic
San Francisco, CA 94109-0401

Mailing address

1661 Pine Street
San Francisco Towers, Outpatient Clinic
San Francisco, CA 94109-0401
Phone (415) 447-5571

Other identifiers 1

IdentifierTypeStateIssuer
00G268570MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091002000271 CA Practitioner - Internal MedicinePractitioner - Gastroenterology 7214034529 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
State University of New York at Buffalo School of Medicine, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1661 Pine St
San Francisco, CA 94109-0401
Phone (415) 447-5571

Hospital & facility affiliations

  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • San Francisco Towers Nursing home, San Francisco, CA, CCN 555728

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G26857CAMDGastroenterology Physician

Hospital & facility affiliations 2

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1376530006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 PINE STREET",
            "address_2": "SAN FRANCISCO TOWERS, OUTPATIENT CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941090401",
            "telephone_number": "415-447-5571",
            "fax_number": "415-447-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 PINE STREET",
            "address_2": "SAN FRANCISCO TOWERS, OUTPATIENT CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941090401",
            "telephone_number": "415-447-5571",
            "fax_number": "415-447-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERMAN",
        "first_name": "MARTIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G26857",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G26857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G268570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.