DR. ETHAN SCOTT LIEBERMAN MD
NPI 1013650951
Internal Medicine in Ventura, CA

Q: What is Ethan Lieberman's NPI number?

The NPI number for Ethan Lieberman is 1013650951. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Q: What is Ethan Lieberman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Lieberman was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2022PECOS Enrolled

147 N BRENT ST, VENTURA, CA 93003(818) 719-2706 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2025, Jul 24, 2024, Apr 19, 2022 (3 updates tracked since 2022).

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About Dr. Ethan Scott Lieberman Md NPPES

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

DR. ETHAN SCOTT LIEBERMAN MD (NPI 1013650951) is an individual internal medicine provider in Ventura, California, licensed in Virginia (0116036266) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Richmond, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013650951

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ETHAN SCOTT LIEBERMANCredential: MD

Location Address147 N BRENT STVentura, CA 93003-2809

Mailing AddressPo Box 980257Richmond, VA 23298-0257 · (804) 828-9783

Phone(818) 719-2706

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 19, 2022

Last NPPES UpdateAugust 12, 20253 updates tracked since enumeration

NPPES CertifiedAugust 12, 2025

✔ NPI 1013650951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in VA · 0116036266

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

147 N BRENT ST, Ventura, CA 93003

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Secondary Practice Location 1

Location 1VCUHS Department of Internal Medicine Residency, 1250 E. Marshall StreetRichmond, VA 23298-0257 · Phone (804) 828-9783

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ethan Scott Lieberman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698150860

PECOS Enrollment IDI20260106002808

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 93003 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

$140.72 typical visit price

range $62.32 – $185.36

Typical copayment $35.18 (range $15.58 – $46.34)

Most-billed visit code 99204

Established Patient

$108.74 typical visit price

range $20.68 – $151.85

Typical copayment $27.18 (range $5.17 – $37.96)

Most-billed visit code 99214

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL BLAINE ASAY M.D.

Anesthesiology