Eric K Lizerbram, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G74959 Issued in CA

Practice address

150 W Washington St
San Diego, CA 92103-2005

Phone

(619) 295-9729

NPI assigned

May 18, 2006

Last updated

Apr 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, PA, WA3 enrollments

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 3

Specialty

Diagnostic Radiology

Education

University of Southern California Keck School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

IHS Radiology Medical Group IncGroup PAC ID 1052622024, 65 clinicians

Scripps Health Inpatient Providers Medical Group IncGroup PAC ID 9436314762, 209 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

72.92 of 100Reported as group

Quality

59.53

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: elizerbram36323@scrippshlth.medalliesdirect.net
• FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

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.

• IHS Radiology Medical Group, Inc.

  dba Imaging Healthcare Specialists

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1497148456
  Medicare reassignment Care Compare group NPD
• Scripps Health Inpatient Providers Medical Group Inc.

  • Multi-Specialty Clinic/Center
  • La Jolla, CA
  • NPI 1699043000
  Medicare reassignment Care Compare group NPD
• Synergy Orthopedic Specialists, Inc.

  • Specialist
  • San Diego, CA
  • NPI 1114282779
  Medicare reassignment NPD
• Diagnostic Imaging Specialists, LLC

  • Specialist
  • Dresher, PA
  • NPI 1578592416
  Medicare reassignment NPD
• Tri-State Pain Institute LLC

  • Interventional Pain Medicine Physician
  • Erie, PA
  • NPI 1215106323
  Medicare reassignment
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Scripps Health

  dba Scripps Mercy Hospital

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1659359446
  NPD
• Synergy Orthopedic Specialists, Inc.

  • Specialist
  • Temecula, CA
  • NPI 1194447888
  NPD
• Imaging Healthcare Specialists Medical Group, Inc.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1750498093
  NPD (past)
• Open Air MRI Centers Medical Group, Inc.

  • Vascular & Interventional Radiology Physician
  • San Diego, CA
  • NPI 1164475174

  Diagnostic Radiology

  NPD (past)
• Physicians Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1891741831
  NPD (past)
• Scripps Health

  dba Scripps Coastal Medical Center

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1881636108
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Scripps Health

  dba Scripps Mercy Hospital

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1659359446
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1598718926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DR STE 210",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364455",
            "telephone_number": "330-655-1869",
            "fax_number": "330-655-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032005",
            "telephone_number": "619-295-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZERBRAM",
        "first_name": "ERIC",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G74959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G749590",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imaging_healthcare_specialists@direct.sdhealthconnect.org",
            "affiliation": "N",
            "address_1": "150 W Washington St",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921032005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adilene Lizarraga Martinez
• Amber Lizarraga, RN
• Armando Lizarraga, LMFT
• Christina E Lizarraga
• Julie Elizabeth Lizarraga, APCC
• Sol Lizerbram, D.O.
• LL Level Inc
• Ramelle Lladones, BCBA
• Stephanie Llaga
• Maria Theresa Abe Llamado, BSN RN PHN

• Diagnostic Radiology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.

Verify at the official NPI Registry.