Individual provider Active NPI

Jeffrey Lieberman, MD

  • Diagnostic Radiology Physician
  • Naples, FL
National Provider Identifier
1952402273
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME118058 Issued in FL
Practice address
350 7TH St N
Naples, FL 34102-5754
Phone
(239) 624-4443
Fax
(239) 436-5907
NPI assigned
Sep 26, 2006
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME118058 FL Primary

Addresses

Primary practice location

350 7TH St N
Naples, FL 34102-5754

Mailing address

21097 NE 27TH CT Ste 480
Aventura, FL 33180-1235
Phone (786) 428-1059

Other identifiers 2

IdentifierTypeStateIssuer
024915000MedicaidFL
B42RYOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040714001644 NY Practitioner - Diagnostic Radiology 2466431341 Reassigns benefits to 2 organizations
I20180430001858 FL Practitioner - Interventional Radiology 2466431341 Reassigns benefits to 4 organizations
I20240127000299 OH Practitioner - Diagnostic Radiology 2466431341 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Hahnemann University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proscan NCH Imaging LLCGroup PAC ID 6103233051, 104 clinicians
Omni Healthcare, IncGroup PAC ID 5496652380, 42 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Proscan Radiology, LLCGroup PAC ID 5799680807, 59 clinicians

Practice addresses (Care Compare)

1020 Crosspointe Dr
Suite 103
Naples, FL 34110-0918
Phone (239) 598-0035

1344 S Apollo Blvd
Suite 102
Melbourne, FL 32901-3183
Phone (321) 777-7888

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

50 Eastdale Ave N
Poughkeepsie, NY 12603-1694
Phone (845) 437-5000

5400 Kennedy Ave
Cincinnati, OH 45213-2664
Phone (513) 351-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.04 of 100Reported as group
Quality
4.75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME118058FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Jun 18, 2021 Accepting new patients
Proscan Womens Imaging at Redbank Diagnostic Radiology CurrentSince Dec 13, 2023 Accepting new patients
Physicians of University Hospital, PC CurrentSince Dec 15, 2014 Accepting new patients
Nchmd, Inc CurrentSince Jun 15, 2019 Accepting new patients
Omni Healthcare, Inc. Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Jan 15, 2026 Accepting new patients
Physicians of University Hospital, PC CurrentSince Dec 15, 2014 Accepting new patients
Precision Healthcare Specialists, LLC Diagnostic Radiology CurrentSince Feb 9, 2026 Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Jan 15, 2026 Accepting new patients
CT at Midtown Diagnostic Radiology CurrentSince Dec 13, 2023 Accepting new patients
Proscan Radiology, LLC Diagnostic Radiology CurrentSince Dec 13, 2023 Accepting new patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Jun 18, 2021 Accepting new patients
Proscan Womens Imaging at Redbank LLC Diagnostic Radiology CurrentSince Dec 13, 2023 Accepting new patients
Nchmd Inc CurrentSince Jun 15, 2019 Accepting new patients
Omni Healthcare, Inc Diagnostic Radiology PastSince Jan 1, 2025 Accepting new patients
Lake Success Medical Pet Scan Past Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

25243 Elementary Way
Bonita Springs, FL 34135
Phone (239) 204-4933

9400 Bonita Beach Rd SE
Ste 201
Bonita Springs, FL 34135
Phone (239) 597-5530

13691 Metro Pkwy
Ste 300
Fort Myers, FL 33912
Phone (239) 291-6970

1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032

1020 Crosspointe Dr
Ste 103
Naples, FL 34110
Phone (239) 624-4443

15420 Collier Blvd
Naples, FL 34120
Phone (239) 624-0600

1715 Medical Blvd
Naples, FL 34110
Phone (239) 261-1121

260 Tamiami Trl N
Naples, FL 34102
Phone (239) 261-0926

311 Tamiami Trl N
Ste 104
Naples, FL 34102
Phone (239) 262-2107

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

7717 Collier Blvd
Unit 101
Naples, FL 34114
Phone (239) 624-8329

5201 Babcock St NE
Ste 5
Palm Bay, FL 32905
Phone (321) 676-5323

6100 Minton Rd NW
Ste 100
Palm Bay, FL 32907

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

50 Eastdale Ave N
Poughkeepsie, NY 12603
Phone (845) 437-5000

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

4850 Red Bank Rd
Fl 2
Cincinnati, OH 45227
Phone (877) 729-6636

5400 Kennedy Ave
Cincinnati, OH 45213
Phone (513) 281-3400

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1952402273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT STE 480",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801235",
            "telephone_number": "786-428-1059",
            "fax_number": "786-428-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 7TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025754",
            "telephone_number": "239-624-4443",
            "fax_number": "239-436-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME118058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024915000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "B42RY",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.