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ANDREI LIEDERS
NPI 1194412700
Hospitalist in Manchester, CT

Active since April 24, 2023PECOS Enrolled
130 HARTFORD RD, MANCHESTER, CT 06040(860) 533-4679 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrei Lieders NPPES

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

ANDREI LIEDERS (NPI 1194412700) is an individual hospitalist provider in Manchester, Connecticut, licensed in Ohio (34.018490) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194412700
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameANDREI LIEDERS
Location Address130 HARTFORD RDManchester, CT 06040-5921
Mailing Address71 Haynes StManchester, CT 06040-4188 · (860) 533-4679
Phone(860) 533-4679
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 24, 2023
Last NPPES UpdateApril 1, 2026
NPPES CertifiedApril 1, 2026
✔ NPI 1194412700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 34.018490
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
130 HARTFORD RD, Manchester, CT 06040
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Secondary Practice Location 1

Location 111100 Euclid AveCleveland, OH 44106-1716 · Phone (216) 844-1000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrei Lieders is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860967353
PECOS Enrollment IDI20260413001565
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 06040 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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. JOHN SCOTT BAROODY
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
VERONICA MARTINS PEREIRA
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
JACOB MAALOUF MD
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
DR. ERIC DAVID SASSU MD
Family Medicine
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4673
DIANE SIEH
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
KODILICHI VJ BALDINO MD
Anesthesiology
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4673
SARAH HOWARD
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
HAZEL CONTRACTOR MD
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrei Lieders's NPI number?

The NPI number for Andrei Lieders is 1194412700. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Andrei Lieders located?

Andrei Lieders practices at 130 Hartford Rd, Manchester, CT 06040. The listed phone number is (860) 533-4679.

What is Andrei Lieders's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Andrei Lieders enrolled in Medicare?

Yes. Andrei Lieders is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrei Lieders was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.