KRISTIN LIEB MD - NPI 1669892311 - Pediatrics in Louisville, KY

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0207X and a focus in Pediatric Hematology-Oncology.

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About Kristin Lieb Md NPPES

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

KRISTIN LIEB MD (NPI 1669892311) is an individual pediatric hematology-oncology provider in Louisville, Kentucky, licensed in Kentucky (62082) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Manhasset, and is a graduate of Wayne State University School Of Medicine (2014).

NPPES Registry Identity

NPI1669892311

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameKRISTIN LIEBCredential: MD

Location Address411 E CHESTNUT ST # 4BLouisville, KY 40202-1713

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-3600

Phone(502) 588-3600

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2014

Enumeration DateApril 21, 2014

Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1669892311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in KY · 62082

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X · License 62082 (KY)

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

411 E CHESTNUT ST # 4B, Louisville, KY 40202

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Secondary Practice Location 1

Location 1300 Community DrManhasset, NY 11030-3816 · Phone (516) 562-0100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristin Lieb Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002229747

PECOS Enrollment IDI20260521004261

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.