Active NPI
Zelig H Lieberman, M.D.
- Surgery Physician
- Dallas, TX
National Provider Identifier
1912921776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C4905
- Practice address
- 3600 Gaston Ave
Suite 958
Dallas, TX 75246-1800 - Phone
- (214) 826-6276
- Fax
- (214) 826-6223
- NPI assigned
- Jul 26, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C4905 | TX | Primary |
Addresses
Primary practice location
3600 Gaston Ave
Suite 958
Dallas, TX 75246-1800
Mailing address
3600 Gaston Ave
Wadley Tower, Suite 958
Dallas, TX 75246-1800
Phone (214) 826-6276
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020053169 | Other | TX | RR MEDICARE |
| 104654204 | Medicaid | TX | |
| 104654203 | Medicaid | TX | |
| 8F8661 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250121600000",
"number": "1912921776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 GASTON AVE",
"address_2": "WADLEY TOWER, SUITE 958",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461800",
"telephone_number": "214-826-6276",
"fax_number": "214-826-6223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 GASTON AVE",
"address_2": "SUITE 958",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461800",
"telephone_number": "214-826-6276",
"fax_number": "214-826-6223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBERMAN",
"first_name": "ZELIG",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2009-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "C4905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "020053169",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104654204",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104654203",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8F8661",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.