Individual provider Active NPI

Michael Richard Liebow, DPM

  • Podiatrist
  • Bethesda, MD
National Provider Identifier
1801830484
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01397 Issued in MD
Practice address
5225 Pooks Hill Rd
Suite 1B
Bethesda, MD 20814-2052
Phone
(301) 581-1111
Fax
(301) 581-1131
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01397 MD Primary

Addresses

Primary practice location

5225 Pooks Hill Rd
Suite 1B
Bethesda, MD 20814-2052

Mailing address

PO Box 1774
Rockville, MD 20849-1774
Phone (301) 581-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120809000010 DC Practitioner - Podiatry 8123089588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5225 Pooks Hill Rd
Suite 1B
Bethesda, MD 20814-2081
Phone (301) 581-1111

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51
Removal of skin lesions21
Removal of nail tissue901
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of MD, LLC Podiatrist CurrentSince Apr 1, 2006 Accepting new patients
Staten Island Podiatry, P.C. Podiatrist Past Accepting new patients
Foot and Ankle Specialists of Ny and NJ LLC Podiatrist Past Accepting new patients

Locations

5225 Pooks Hill Rd
Ste 1B
Bethesda, MD 20814
Phone (301) 581-1111

Interoperability endpoints

  • Direct secure messaging: michael.liebow.1@30922.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1801830484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1774",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208491774",
            "telephone_number": "301-581-1111",
            "fax_number": "301-581-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 POOKS HILL RD",
            "address_2": "SUITE 1B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142052",
            "telephone_number": "301-581-1111",
            "fax_number": "301-581-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBOW",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.