Active NPI
David C Lieb, MD
- Endocrinology, Diabetes & Metabolism Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 0101240097
- Practice address
- 855 W Brambleton Ave
Norfolk, VA 23510-1005 - Phone
- (757) 446-5908
- Fax
- (757) 446-7055
- NPI assigned
- May 18, 2007
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0101240097 | VA | Primary |
Addresses
Primary practice location
855 W Brambleton Ave
Norfolk, VA 23510-1005
Mailing address
PO Box 936
Norfolk, VA 23501-0936
Phone (757) 446-5908
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PAR | Other | VA | CORVEL/CORCARE |
| PAR | Other | VA | MULTIPLAN |
| PAR | Other | VA | VA HEALTH NETWORK |
| 10049927 | Other | VA | OPTIMA HEALTH |
| 375479 | Other | VA | ANTHEM BC/BS |
| PAR | Other | VA | UNITED HEALTHCARE/MAMSI |
| PAR | Other | VA | USA MANAGED CARE |
| PAR | Other | VA | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY HEALTH |
| -033 | Other | VA | TRICARE/CHAMPUS |
| 1629286059 | Medicaid | VA | |
| 5912843 | Medicaid | NC | |
| PAR | Other | VA | VA PREMIER HEALTH |
| PAR | Other | VA | AETNA |
| PAR | Other | VA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- University of Virginia School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Gresham Dr
Norfolk, VA 23507-1904
855 W Brambleton Ave
Norfolk, VA 23510-1005
Phone (757) 446-5908
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evms Academic Physicians and Surgeons Health Services Foundation | Current | Accepting new patients |
Locations
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
855 W Brambleton Ave
Norfolk, VA 23510
Phone (757) 446-5908
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.
-
dba EVMS Medical Group
- Internal Medicine Physician
- Norfolk, VA
- NPI 1003887118
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sentara Norfolk General Hospital
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
dba Sentara Virginia Beach General Hospital
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- Critical Access Hospital
- Nags Head, NC
- NPI 1053375253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381795200000",
"number": "1629286059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235010936",
"telephone_number": "757-446-5908",
"fax_number": "757-446-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 W BRAMBLETON AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101005",
"telephone_number": "757-446-5908",
"fax_number": "757-446-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEB",
"first_name": "DAVID",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2013-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "VA",
"license": "0101240097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL/CORCARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA HEALTH NETWORK",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "10049927",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "375479",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE/MAMSI",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY HEALTH",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "-033",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629286059",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5912843",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER HEALTH",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "PAR",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.