Active NPI
Daniel Liberman, M.D.C.M.
- Urology Physician
- Minneapolis, MN
National Provider Identifier
1518302181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 56194
- Practice address
- 420 Delaware Stre SE, Suite B435
Institute for Prostrate and Urologic Cancers
Minneapolis, MN 55455-0341 - Phone
- (651) 999-6800
- Fax
- (651) 999-6830
- NPI assigned
- May 8, 2013
- Reactivated
- Apr 29, 2014
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 56194 | MN | |
| Urology Physician | 208800000X | 56194 | MN | Primary |
Addresses
Primary practice location
420 Delaware Stre SE, Suite B435
Institute for Prostrate and Urologic Cancers
Minneapolis, MN 55455-0341
Mailing address
420 Delaware Steet SE, MMC 394
Daniel Liberman MD
Minneapolis, MN 55455-0346
Phone (651) 999-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gillette Children'S Specialty Healthcare | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Minnetonka, MN
- NPI 1598824880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1518302181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 DELAWARE STEET SE, MMC 394",
"address_2": "DANIEL LIBERMAN MD",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550346",
"telephone_number": "651-999-6800",
"fax_number": "651-999-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DELAWARE STRE SE, SUITE B435",
"address_2": "INSTITUTE FOR PROSTRATE AND UROLOGIC CANCERS",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550341",
"telephone_number": "651-999-6800",
"fax_number": "651-999-6830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBERMAN",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "M.D.C.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-08",
"last_updated": "2014-04-29",
"deactivation_date": "2014-02-20",
"reactivation_date": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MN",
"license": "56194",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MN",
"license": "56194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.