DR. SHILO ISRAEL LIEBERMAN DDS
NPI 1659460939
Dentist - General Practice in Latham, NY

Active since October 12, 2006PECOS Enrolled
1201 TROY SCHENECTADY RD, LATHAM, NY 12110(518) 785-3084(518) 785-0243 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2024, Jun 13, 2016 (2 updates tracked since 2016).

About Dr. Shilo Israel Lieberman Dds NPPES

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

DR. SHILO ISRAEL LIEBERMAN DDS (NPI 1659460939) is an individual general practice provider in Latham, New York, licensed in New York (036843) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659460939
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHILO ISRAEL LIEBERMANCredential: DDS
Location Address1201 TROY SCHENECTADY RDLatham, NY 12110-1030
Mailing Address1309 Viewmont DrNiskayuna, NY 12309-1221 · (518) 281-2314 · Fax (518) 785-0243
Fax(518) 785-0243
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
NPI 1659460939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 036843
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1201 TROY SCHENECTADY RD, Latham, NY 12110

Accepted Insurance

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. Shilo Israel Lieberman Dds 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 12110 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 9

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

Dentist (General Practice)
1201 TROY SCHENECTADY RD
LATHAM, NY 12110
Dentist (Periodontics)
1201 TROY SCHENECTADY RD
LATHAM, NY 12110
Dentist (Oral and Maxillofacial Surgery)
1201 TROY SCHENECTADY RD
LATHAM, NY 12110
Dentist (General Practice)
1201 TROY SCHENECTADY RD
LATHAM, NY 12110
Dentist (General Practice)
1201 TROY SCHENECTADY RD
LATHAM, NY 12110
Dentist
1201 TROY SCHENECTADY RD
LATHAM, NY 12110
Dentist (General Practice)
1201 TROY SCHENECTADY RD
LATHAM, NY 12110
Dentist
1201 TROY SCHENECTADY RD
LATHAM, NY 12110

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 Shilo Lieberman's NPI number?

The NPI number for Shilo Lieberman is 1659460939. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Shilo Lieberman located?

Shilo Lieberman practices at 1201 Troy Schenectady Rd, Latham, NY 12110. The listed phone number is (518) 785-3084.

What is Shilo Lieberman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shilo Lieberman enrolled in Medicare?

Yes. Shilo Lieberman is registered in the Medicare PECOS enrollment system.

What insurance does Shilo Lieberman accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Shilo Lieberman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shilo Lieberman was last updated on February 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.