Individual provider Active NPI

Robert Howard Liebross, MD

  • Radiation Oncology Physician
  • Indianapolis, IN
National Provider Identifier
1598850653
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
01052367 Issued in IN
Practice address
8402 Harcourt Road
Suite 721
Indianapolis, IN 46260
Phone
(317) 415-6760
Fax
(317) 415-6758
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 01052367 IN Primary

Addresses

Primary practice location

8402 Harcourt Road
Suite 721
Indianapolis, IN 46260

Mailing address

6100 W 96TH St
Suite 125
Indianapolis, IN 46278-6005
Phone (317) 715-1800

Other identifiers 3

IdentifierTypeStateIssuer
01052367BOtherINCSR
200269520MedicaidIN
200259350MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20080428000493 IN Practitioner - Radiation Oncology 7810075108 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
New York University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Care Group PCGroup PAC ID 1850295858, 21 clinicians

Practice addresses (Care Compare)

1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 217-3800

1701 S Creasy LN
Lafayette, IN 47905-4972
Phone (765) 446-5417

2001 W 86TH St
Ascension St Vincent Hospital
Indianapolis, IN 46260-1902
Phone (317) 415-6760

2455 Intelliplex Dr
Shelbyville, IN 46176-8535
Phone (317) 421-1800

2505 N Lebanon St
100 Witham Memorial Hospital
Lebanon, IN 46052-8613
Phone (765) 483-7310

395 Westfield Rd
Riverview
Noblesville, IN 46060-1425
Phone (317) 776-7179

8111 S Emerson Ave
Franciscan Health Hospital
Indianapolis, IN 46237-8601
Phone (317) 865-5171

8301 Harcourt Rd
Indianapolis, IN 46260-2081
Phone (317) 415-6760

Hospital & facility affiliations

  • Witham Health Services Hospital, Lebanon, IN, CCN 150104
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • Hendricks Regional Health Hospital, Danville, IN, CCN 150005
  • Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010
  • Ascension St Vincent Carmel Hospital, Carmel, IN, CCN 150157

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01052367INMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Logansport Hospital, Inc. CurrentSince Jun 13, 2022 Accepting new patients
Margaret Mary Community Hospital, Inc CurrentSince Jan 1, 2016 Accepting new patients
Parkview Logansport Hospital, Inc. CurrentSince Jun 13, 2022 Accepting new patients
Margaret Mary Community Hospital Inc Current Accepting new patients
Jeffrey a. Hatcher, MD, PC Past Accepting new patients
Major Hospital Past Accepting new patients
Central Indiana Pet, LLC Past Accepting new patients
Indiana Radiation Oncology, LLC Radiation Oncology Past Accepting new patients

Locations

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

24 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 376-3100

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

1025 Michigan Ave
Ste 15
Logansport, IN 46947
Phone (574) 753-9000

Organizations & group practices 9

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 6

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1598850653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 W 96TH ST",
            "address_2": "SUITE 125",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462786005",
            "telephone_number": "317-715-1800",
            "fax_number": "317-715-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 HARCOURT ROAD",
            "address_2": "SUITE 721",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "317-415-6760",
            "fax_number": "317-415-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBROSS",
        "first_name": "ROBERT",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01052367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "01052367B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200269520",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200259350",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.