Jeffrey Lieberman

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

182918 Issued in NY

Practice address

3055 Southwestern Blvd
Suite 104
Orchard Park, NY 14127-1231

Phone

(716) 677-6736

Fax

(716) 677-6144

NPI assigned

Jul 28, 2005

Last updated

Jul 17, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in NY, PA, TX, MO, KS, WI, MN, NJ, IL, FL, NV, GA, NC13 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 13

Specialty

Diagnostic Radiology

Education

State University of New York at Buffalo School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western New York Radiology Associates LLCGroup PAC ID 3072402296, 27 clinicians

Kaleida HealthGroup PAC ID 7810805280, 214 clinicians

Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians

Great Lakes Medical Imaging LLCGroup PAC ID 2163681859, 42 clinicians

General Physician PCGroup PAC ID 9537213079, 488 clinicians

Olean Medical Practice PLLCGroup PAC ID 0042698045, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kaleida Health Hospital, Buffalo, NY, CCN 330005
• Ascension All Saints Hospital Hospital, Racine, WI, CCN 520096
• Olean General Hospital Hospital, Olean, NY, CCN 330103
• Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
• Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 74)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22039/brand/2/csg/1/fhir/r4

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.

• Great Lakes Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Williamsville, NY
  • NPI 1861763005
  Medicare reassignment Care Compare group NPD
• Olean Medical Practice PLLC

  dba Olean Medical Group

  • Clinic/Center
  • Salamanca, NY
  • NPI 1285384412
  Medicare reassignment Care Compare group NPD
• Western New York Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Buffalo, NY
  • NPI 1285682500
  Medicare reassignment Care Compare group NPD
• Premier Radiology Wisconsin, LLC

  • Diagnostic Radiology Physician
  • Mount Pleasant, WI
  • NPI 1952951154
  Medicare reassignment Care Compare group NPD
• General Physician, PC

  • General Practice Physician
  • Dunkirk, NY
  • NPI 1093959322
  Medicare reassignment Care Compare group
• Kaleida Health

  dba Buffalo General Hospital

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Medicare reassignment Care Compare group
• Zwanger & Pesiri Radiology Group, LLP

  • Diagnostic Radiology Physician
  • Lindenhurst, NY
  • NPI 1477523413
  Medicare reassignment NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Chicago, IL
  • NPI 1992034599
  Medicare reassignment NPD
• Medical X-Ray Consultants, LTD

  • Vascular & Interventional Radiology Physician
  • Alexandria, MN
  • NPI 1386601383

  Diagnostic Radiology, NY

  Medicare reassignment NPD
• Rwjbh Emergency Medicine Associates, LLC

  • Emergency Medicine Physician
  • Somerset, NJ
  • NPI 1912510041
  Medicare reassignment NPD
• Rwjbh Observation Associates LLC

  • Emergency Medicine Physician
  • Livingston, NJ
  • NPI 1760095806

  Diagnostic Radiology

  Medicare reassignment NPD
• Radiologists of Univ of Rochester

  • Diagnostic Radiology Physician
  • Rochester, NY
  • NPI 1821030362
  Medicare reassignment

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

• Kaleida Health

  dba Millard Fillmore Suburban Hospital

  • General Acute Care Hospital
  • Williamsville, NY
  • NPI 1053441907
  Care Compare affiliation
• Kaleida Health

  dba Degraff Hospital

  • General Acute Care Hospital
  • North Tonawanda, NY
  • NPI 1104956358
  Care Compare affiliation
• Kaleida Health

  dba Golisano Children's Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1245365196
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1366473183
  Care Compare affiliation
• Kaleida Health

  dba Buffalo General Hospital

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Care Compare affiliation
• Kaleida Health

  dba Millard Fillmore Gates Hospital

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1831229780
  Care Compare affiliation
• Olean General Hospital

  • General Acute Care Hospital
  • Olean, NY
  • NPI 1225083074
  Care Compare affiliation
• Olean General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Olean, NY
  • NPI 1699715904
  Care Compare affiliation
• Ascension All Saints Hospital, Inc

  dba Ascension All Saints Hospital

  • General Acute Care Hospital
  • Racine, WI
  • NPI 1639123284
  Care Compare affiliation
• Ascension SE Wisconsin Hospital, Inc

  dba Ascension SE Wisconsin Hospital-Elmbrook Campus

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1427007384
  Care Compare affiliation
• Ascension SE Wisconsin Hospital, Inc

  dba Ascension SE Wisconsin Hospital-Elmbrook Campus

  • Rehabilitation Hospital Unit
  • Brookfield, WI
  • NPI 1861417362
  Care Compare affiliation
• Columbia St. Mary's Hospital Milwaukee, Inc.

  dba Ascension Columbia St Mary's Hospital Milwaukee Campus

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1871656082
  Care Compare affiliation

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1932109253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 S MEADOW DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272722",
            "telephone_number": "716-662-0293",
            "fax_number": "716-402-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 SOUTHWESTERN BLVD",
            "address_2": "SUITE 104",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271231",
            "telephone_number": "716-677-6736",
            "fax_number": "716-677-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "182918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF WESTERN NY",
            "identifier": "000523824010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "208616656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300136886",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01616022",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "CRDRA1829183",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00040819806",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDANT HEALTH",
            "identifier": "5608639",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00420095",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Lewis, ATC, LMT
• Seema Lewis
• Zachary Tyler Lewis, PA-C
• Joann Liberta, PMHNP-BC
• Kim Marie Lickfeld, SLP
• Jami Liebner, PMHNP
• Kasey Lienhart-Duffy
• Suzanne Lignos, FNP
• Zachary Michael Lill, M.D.
• Lincare Inc.

• Diagnostic Radiology Physician in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.

Verify at the official NPI Registry.