Individual provider Active NPI

Loth Lieberstein, M.D.

  • Gastroenterology Physician
  • Reno, NV
National Provider Identifier
1922062215
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
3212 Issued in NV
Practice address
10619 Professional Cir
Reno, NV 89521-5831
Phone
(775) 852-4848
Fax
(775) 850-5763
NPI assigned
Apr 13, 2006
Last updated
Oct 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 3212 NV Primary

Addresses

Primary practice location

10619 Professional Cir
Reno, NV 89521-5831

Mailing address

10619 Professional Cir
Reno, NV 89521-5831
Phone (775) 852-4848

Other identifiers 1

IdentifierTypeStateIssuer
20-16011MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20070523000462 NV Practitioner - GastroenterologyPractitioner - Internal Medicine 7911892435 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Consultants, LTD CurrentSince May 7, 2007 Accepting new patients
South Meadows Endoscopy Center, LLC CurrentSince Aug 13, 2023 Accepting new patients

Locations

10619 Professional Cir
Reno, NV 89521
Phone (775) 329-4600

880 Ryland St
Reno, NV 89502
Phone (775) 329-4600

Interoperability endpoints

  • Direct secure messaging: llieberstein@directaddress.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1922062215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10619 PROFESSIONAL CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215831",
            "telephone_number": "775-852-4848",
            "fax_number": "775-850-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10619 PROFESSIONAL CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215831",
            "telephone_number": "775-852-4848",
            "fax_number": "775-850-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERSTEIN",
        "first_name": "LOTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "3212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20-16011",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.