Individual provider Active NPI

David E Lieberman, M.D.

  • Emergency Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1922046747
Registry record updated Dec 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036112486 Issued in IL
Practice address
111 E Wisconsin Ave
Milwaukee, WI 53202-4815
Phone
(414) 290-6720
Fax
(414) 290-6755
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

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 3

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

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty Group 2,123 clinicians
Hoopeston Emergency Medicine Specialists LTD 12 clinicians

Practice addresses (Care Compare)

111 Spring St
Streator, IL 61364-3332
Phone (815) 673-2311

701 E Orange St
Hoopeston, IL 60942-1801
Phone (708) 393-7537

Hospital & facility affiliations

  • Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110
  • Carle Hoopeston Regional Health Center Hospital, Hoopeston, IL, CCN 141316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060710000068 WI Practitioner - Emergency Medicine 2264445451 Reassigns benefits to 1 organization
I20140524000147 IL Practitioner - Emergency Medicine 2264445451 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036112486ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Sep 21, 2021 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Jul 9, 2020 Accepting new patients
Hoopeston Community Memorial Hospital Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Crawford Hospital District CurrentSince Dec 31, 2024 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Crawford Hospital District CurrentSince Dec 31, 2024 Accepting new patients
Carle Health Care Incorporated Emergency Medicine CurrentSince Feb 16, 2026 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Crawford Hospital District Current Accepting new patients
Hoopeston Emergency Medicine Specialists, LTD. Emergency Medicine CurrentSince Jul 10, 2020 Accepting new patients
Health Dynamics, LLC Past Accepting new patients
Ihc-Libertyville Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
EMS Observation, S.C. Emergency Medicine PastSince Jun 5, 2022 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

111 Spring St
Streator, IL 61364
Phone (815) 672-4587

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: dliebermanmd312018@carlehiedirect.net
  • Direct secure messaging: david.lieberman@envisionhealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036112486 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

111 E Wisconsin Ave
Milwaukee, WI 53202-4815

Mailing address

111 E Wisconsin Ave
Milwaukee, WI 53202-4815
Phone (414) 290-6720

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address David.Lieberman@EnvisionHealth.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 18, 2021.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1922046747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024815",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024815",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036112486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "David.Lieberman@EnvisionHealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "111 E Wisconsin Ave",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532024815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.