WILLIAM NATHAN LISBERG MD
NPI 1003816075
Radiology - Diagnostic Radiology in Robbinsdale, MN

Q: What is William Lisberg's NPI number?

The NPI number for William Lisberg is 1003816075. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Q: What is William Lisberg's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for William Lisberg was last updated on March 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 29, 2005PECOS Enrolled

3300 OAKDALE AVE N, ROBBINSDALE, MN 55422(763) 559-2171(763) 694-9000 Get Directions Write a Review

NPPES record last updated: March 3, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About William Nathan Lisberg Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM NATHAN LISBERG MD (NPI 1003816075) is an individual diagnostic radiology provider in Robbinsdale, Minnesota, licensed in Minnesota (28413) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003816075

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameWILLIAM NATHAN LISBERGCredential: MD

Location Address3300 OAKDALE AVE NRobbinsdale, MN 55422-2926

Mailing Address2800 Campus Dr, #10Plymouth, MN 55441-2645 · (763) 559-2171 · Fax (763) 694-9000

Phone(763) 559-2171

Fax(763) 694-9000

Sole ProprietorNo

Enumeration DateJuly 29, 2005

Last NPPES UpdateMarch 3, 2009

✔ NPI 1003816075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in MN · 28413

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 28413 (MN)

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 28413 (MN)

Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License 28413 (MN)

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License 28413 (MN)

3300 OAKDALE AVE N, Robbinsdale, MN 55422

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Other Identifiers 3

Medicare UPINA95764

Medicare ID-Type Unspecified300000063

Medicaid893072400MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Nathan Lisberg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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