DR. IVAN M LIEBERBURG PH.D., M.D.
NPI 1245345008
Internal Medicine - Endocrinology, Diabetes & Metabolism in Solana Beach, CA

Active since August 20, 2006PECOS Enrolled
440 STEVENS AVE, SUITE 100, SOLANA BEACH, CA 92075(650) 302-8344(858) 400-3101 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ivan M Lieberburg Ph.d., M.d. NPPES

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

DR. IVAN M LIEBERBURG PH.D., M.D. (NPI 1245345008) is an individual endocrinology, diabetes & metabolism provider in Solana Beach, California, licensed in California (G45771) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245345008
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. IVAN M LIEBERBURGCredential: PH.D., M.D.
Location Address440 STEVENS AVE, SUITE 100Solana Beach, CA 92075-2057
Mailing Address440 Stevens Ave 100Solana Beach, CA 92075-2057 · (650) 302-8344 · Fax (858) 400-3101
Fax(858) 400-3101
Sole ProprietorYes
Enumeration DateAugust 20, 2006
Last NPPES UpdateAugust 18, 2015
NPI 1245345008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in CA · G45771
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
440 STEVENS AVE, Solana Beach, CA 92075

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. Ivan M Lieberburg Ph.d., M.d. 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 92075 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 4

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

Nurse Practitioner
440 STEVENS AVE, SUITE 200
SOLANA BEACH, CA 92075
Emergency Medicine
440 STEVENS AVE, SUITE 150
SOLANA BEACH, CA 92075
Emergency Medicine
440 STEVENS AVE, SUITE 150
SOLANA BEACH, CA 92075
Emergency Medical Technician, Basic
440 STEVENS AVE, SUITE 150
SOLANA BEACH, CA 92075

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 Ivan Lieberburg's NPI number?

The NPI number for Ivan Lieberburg is 1245345008. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Ivan Lieberburg located?

Ivan Lieberburg practices at 440 Stevens Ave Suite 100, Solana Beach, CA 92075. The listed phone number is (650) 302-8344.

What is Ivan Lieberburg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Ivan Lieberburg enrolled in Medicare?

Yes. Ivan Lieberburg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ivan Lieberburg was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.