Active NPI
Phillip L Lieberman, MD
- Allergy & Immunology Physician
- Memphis, TN
National Provider Identifier
1629009717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD00005630
- Practice address
- 6401 Poplar Ave Ste 300
Memphis, TN 38119-4810 - Phone
- (901) 757-6100
- Fax
- (855) 656-7325
- NPI assigned
- Jul 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD00005630 | TN | Primary |
Addresses
Primary practice location
6401 Poplar Ave Ste 300
Memphis, TN 38119-4810
Mailing address
9800 Shelbyville Rd Ste 220
Louisville, KY 40223-2992
Phone (502) 429-8585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.25 of 100
- Quality
- 86.03
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00005630 | TN | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCulley Allergy Sinus & Asthma | Allergy & Immunology | Past | Accepting new patients |
Interoperability endpoints
- plieberman31734@mlh.direct-ci.com
- https://api.platform.athenahealth.com/14678/brand/1/csg/1/fhir/r4
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.
-
- Allergy & Immunology Physician
- Germantown, TN
- NPI 1386194843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1629009717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9800 SHELBYVILLE RD STE 220",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402232992",
"telephone_number": "502-429-8585",
"fax_number": "502-429-6157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 POPLAR AVE STE 300",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381194810",
"telephone_number": "901-757-6100",
"fax_number": "855-656-7325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBERMAN",
"first_name": "PHILLIP",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TN",
"license": "MD00005630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.