Individual provider Active NPI

David Christopher Lieb, M.D.

  • Family Medicine Physician
  • Columbia City, IN
National Provider Identifier
1942294921
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01053119A Issued in IN
Practice address
111 W Market St
Columbia City, IN 46725-2311
Phone
(260) 244-6066
Fax
(260) 248-2348
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01053119A IN Primary

Addresses

Primary practice location

111 W Market St
Columbia City, IN 46725-2311

Mailing address

111 W Market St
Columbia City, IN 46725-2311
Phone (260) 244-6066

Other identifiers 1

IdentifierTypeStateIssuer
2002238790BMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlieb9284@Direct.Parkviewexchange.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050527000698 IN Practitioner - Family Practice 4981646023 Practice locations: Columbia City, IN

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 W Market St
Columbia City, IN 46725-2311
Phone (260) 244-6066

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions33
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01053119AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Indianapolis, PC Past Accepting new patients
Rush Memorial Hospital Family Medicine PastSince Dec 7, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.lieb.1@30520.direct.athenahealth.com
  • Direct secure messaging: dlieb9284@direct.parkviewexchange.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1942294921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MARKET ST",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467252311",
            "telephone_number": "260-244-6066",
            "fax_number": "260-248-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W MARKET ST",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467252311",
            "telephone_number": "260-244-6066",
            "fax_number": "260-248-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEB",
        "first_name": "DAVID",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01053119A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002238790B",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlieb9284@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "111 W Market St",
            "city": "Columbia City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467252311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia City, IN

Sources for this page

Verify at the official NPI Registry.