NPIMap

Individual provider Active NPI

Nicholas Matthew Lieb, DO

  • Family Medicine Physician
  • Latrobe, PA
National Provider Identifier
1891373395
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS023725 Issued in PA
Practice address
1010 Ligonier St Ste 1
Latrobe, PA 15650-1847
Phone
(724) 537-0733
Fax
(724) 537-0860
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X OS023725 PA Primary

Addresses

Primary practice location

1010 Ligonier St Ste 1
Latrobe, PA 15650-1847

Mailing address

1010 Ligonier St Ste 1
Latrobe, PA 15650-1847
Phone (724) 537-0733

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicholaslieb@emg.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703000932 PA Practitioner - Family Practice 3779984067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Excela Health Physician Practices, IncGroup PAC ID 6204737117, 474 clinicians

Practice addresses (Care Compare)

1010 Ligonier St
Latrobe, PA 15650-1846
Phone (724) 537-8518

Hospital & facility affiliations

  • Excela Health Home Care & Hospice Hospice, Greensburg, PA, CCN 391617
  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219
  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Excela Health Physician Practices, Inc Multi-Specialty Current Accepting new patients
Excela Health Physician Practices, Inc. Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

100 Excela Health Dr
Ste 301
Latrobe, PA 15650
Phone (724) 537-1480

1010 Ligonier St
Ste 1
Latrobe, PA 15650
Phone (724) 537-0733

1010 Ligonier St
Latrobe, PA 15650
Phone (724) 539-1671

Interoperability endpoints

  • Direct secure messaging: nicholaslieb@emg.allscriptsdirect.net

Organizations & group practices 4

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1891373395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LIGONIER ST STE 1",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501847",
            "telephone_number": "724-537-0733",
            "fax_number": "724-537-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LIGONIER ST STE 1",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501847",
            "telephone_number": "724-537-0733",
            "fax_number": "724-537-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEB",
        "first_name": "NICHOLAS",
        "middle_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS023725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicholaslieb@emg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1010 Ligonier St Ste 1",
            "city": "Latrobe",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156501847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.