Individual provider Active NPI

Kristin Anne Liebrecht, M.D.

  • Family Medicine Physician
  • Roanoke, VA
National Provider Identifier
1881031839
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101259938 Issued in VA
Practice address
1314 Peters Creek Rd NW
Roanoke, VA 24017-2500
Phone
(540) 562-5700
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 0101259938 VA
Family Medicine Physician 207Q00000X 0101259938 VA Primary

Addresses

Primary practice location

1314 Peters Creek Rd NW
Roanoke, VA 24017-2500

Mailing address

1314 Peters Creek Rd NW
Roanoke, VA 24017-2500

Other identifiers 1

IdentifierTypeStateIssuer
1881031839MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160822001510 VA Practitioner - Family Practice 7214162791 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000

Hospital & facility affiliations

  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Community Memorial Hospital Hospital, South Hill, VA, CCN 490098

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Virginia LLC Family Medicine CurrentSince May 15, 2017 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC CurrentSince Dec 1, 2017 Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 4, 2019 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Jun 10, 2020 Accepting new patients
Carilion Medical Center CurrentSince Sep 18, 2016 Accepting new patients
Riverside Physician Services Inc CurrentSince Mar 8, 2023 Accepting new patients
Carilion Healthcare Corporation CurrentSince Sep 18, 2016 Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 4, 2019 Accepting new patients
MCV Associated Physicians Family Medicine CurrentSince Jul 30, 2024 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
CMH Physician Services, LLC Hospitalist CurrentSince Jul 5, 2016 Accepting new patients
CMH Physician Services, LLC Family Medicine Current Accepting new patients
Riverside Physician Services, Inc. Family Medicine CurrentSince Mar 8, 2023 Accepting new patients
Carilion Healthcare Corporation CurrentSince Sep 18, 2016 Accepting new patients
Carilion Medical Center CurrentSince Sep 18, 2016 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Jun 10, 2020 Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

1314 Peters Creek Rd NW
Roanoke, VA 24017
Phone (540) 427-9200

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

1500 Commonwealth Ave
Williamsburg, VA 23185
Phone (757) 585-2200

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • Direct secure messaging: kliebrecht51906@direct.carilionclinic.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1881031839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 PETERS CREEK RD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240172500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 PETERS CREEK RD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240172500",
            "telephone_number": "540-562-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBRECHT",
        "first_name": "KRISTIN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101259938",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101259938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881031839",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.