Liudmila Lobach, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD446807 Issued in PA

Practice address

4641 Roosevelt Blvd
Philadelphia, PA 19124-2343

Phone

(267) 974-0718

NPI assigned

Nov 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Psychiatry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeast Community Center for Mental Health-Mental Retardation IGroup PAC ID 9931195450, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Northeast Community Center for Mental Health-Mental Retardation I

  • Adult Mental Health Clinic/Center
  • Philadelphia, PA
  • NPI 1306907704
  Medicare reassignment Care Compare group NPD
• Merakey Philadelphia

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1073636866
  Medicare reassignment NPD

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1962832808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 LOTT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242343",
            "telephone_number": "267-974-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBACH",
        "first_name": "LIUDMILA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD446807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thanh Lo
• Vivian Wan-Wai Lo, PA-C
• Bogadi Louise Loabile, MD
• Morgann Roseleen Loaec, MD
• Karen Nicole Lob, MD
• Brisa Malia Lobb
• Michael Lobianco, MSW, LCSW
• Michael Anthony Lobianco, D.O.
• Amanda Nicole Lobiondo, CRNA
• Cali Loblundo

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.