Individual provider Active NPI

Alicia Anne Lieberman, MD

  • Rheumatology Physician
  • Batavia, NY
National Provider Identifier
1780973909
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
271529 Issued in NY
Practice address
5762 E Main Street Rd Ste D
Batavia, NY 14020-9649
Phone
(585) 304-8118
NPI assigned
Mar 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rheumatology Physician 2080P0216X 271529 NY
Student in an Organized Health Care Education/Training Program 390200000X
Rheumatology Physician 207RR0500X 271529 NY Primary

Addresses

Primary practice location

5762 E Main Street Rd Ste D
Batavia, NY 14020-9649

Mailing address

913 Culver Rd
Rochester, NY 14609-7141
Phone (585) 654-5432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170117000951 NY Practitioner - Internal Medicine 0840599155 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roswell Park Cancer InstituteGroup PAC ID 3577475110, 487 clinicians

Practice addresses (Care Compare)

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271529NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Rheumatology and Medicine PLLC CurrentSince Jul 1, 2019 Accepting new patients
Highland Hospital of Rochester Internal Medicine CurrentSince Nov 23, 2016 Accepting new patients
Highland Hospital of Rochester CurrentSince Nov 23, 2016 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
Roswell Park Cancer Institute CurrentSince Feb 1, 2021 Accepting new patients
Buffalo Rheumatology and Medicine PLLC CurrentSince Jul 1, 2019 Accepting new patients
Alicia a. Lieberman, MD Rheumatology CurrentSince Jul 27, 2022 Accepting new patients
Roswell Park Cancer Institute CurrentSince Feb 1, 2021 Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Internal Medicine Past Accepting new patients
Cloud Health Medical Group, P.a. Internal Medicine Past Accepting new patients

Locations

5762 E Main Street Rd
Ste D
Batavia, NY 14020
Phone (585) 276-7190

Dept 8000
Buffalo, NY 14267

3500 Sheridan Dr
Buffalo, NY 14226
Phone (716) 204-4263

Elm and Carlton St
Buffalo, NY 14263

3055 Southwestern Blvd
Ste 100
Orchard Park, NY 14127
Phone (716) 675-2500

913 Culver Rd
Rochester, NY 14609
Phone (585) 654-5432

1000 South Ave
Rochester, NY 14620
Phone (585) 341-0366

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27095/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alicia.lieberman.1@27095.direct.athenahealth.com

Organizations & group practices 10

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 1

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1780973909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 CULVER RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146097141",
            "telephone_number": "585-654-5432",
            "fax_number": "585-288-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5762 E MAIN STREET RD STE D",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140209649",
            "telephone_number": "585-304-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "ALICIA",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "NY",
            "license": "271529",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "271529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.