Individual provider Active NPI

Alyson Lieberman, MD

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1609405547
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0101772 Issued in MD
Practice address
933 N Wolfe St
Baltimore, MD 21205-1113
Phone
(401) 487-7285
Fax
(410) 614-3643
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0101772 MD Primary

Addresses

Primary practice location

933 N Wolfe St
Baltimore, MD 21205-1113

Mailing address

933 N Wolfe St
Baltimore, MD 21205-1113
Phone (410) 516-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20201112001556 MD Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3678983160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0101772MDMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: alieberman1275169@direct.hopkinsmedicine.org

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1609405547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051113",
            "telephone_number": "410-516-3311",
            "fax_number": "410-614-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051113",
            "telephone_number": "401-487-7285",
            "fax_number": "410-614-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "ALYSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0101772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.