Active NPI
David Christopher Lieb, M.D.
- Family Medicine Physician
- Columbia City, IN
National Provider Identifier
1942294921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01053119A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002238790B | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 33 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01053119A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of Indianapolis, PC | Past | Accepting new patients | |
| Rush Memorial Hospital | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- david.lieb.1@30520.direct.athenahealth.com
- 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.
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1770538340
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.