Active NPI
David E Lieberman, M.D.
- Emergency Medicine Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036112486
- 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.
-
- Emergency Medicine Physician
- Hoopeston, IL
- NPI 1316965197
Emergency Medicine, IL
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Emergency Medicine, IL
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
Emergency Medicine, IL
-
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
Emergency Medicine, IL
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
Emergency Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
Hospital
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
Hospital
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 GroupHoopeston Emergency Medicine Specialists LTD
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
- Carle Hoopeston Regional Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036112486 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients | |
| Carle Health Care Incorporated | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Crawford Hospital District | Current | Accepting new patients | |
| Hoopeston Emergency Medicine Specialists, LTD. | Emergency Medicine | Current | 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 | Past | 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
- dliebermanmd312018@carlehiedirect.net
- david.lieberman@envisionhealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036112486 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.