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DR. DANIEL JAMES LIEBERTZ M.D.
NPI 1740592849
Otolaryngology - Facial Plastic Surgery in Kirkland, WA

Active since July 06, 2010Opted out of Medicare · through Sep 19, 2027
5209 LAKE WASHINGTON BLVD NE, STE 115, KIRKLAND, WA 98033(425) 822-0300(425) 822-4999 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2022, Feb 6, 2020, Aug 25, 2016 (3 updates tracked since 2016).

About Dr. Daniel James Liebertz M.d. NPPES

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

DR. DANIEL JAMES LIEBERTZ M.D. (NPI 1740592849) is an individual facial plastic surgery provider in Kirkland, Washington, licensed in Washington (60671191) and active in the NPI registry since July 2010. He has opted out of Medicare through September 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740592849
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameDR. DANIEL JAMES LIEBERTZCredential: M.D.
Location Address5209 LAKE WASHINGTON BLVD NE, STE 115Kirkland, WA 98033-7355
Mailing Address5209 Lake Washington Blvd Ne, Ste 115Kirkland, WA 98033-7355 · (425) 822-0300 · Fax (425) 822-4999
Phone(425) 822-0300
Fax(425) 822-4999
Sole ProprietorNo
Enumeration DateJuly 6, 2010
Last NPPES UpdateOctober 7, 20223 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1740592849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Licenses✔ Licensed in WA · 60671191✔ Licensed in GA · 073020
Definition
An otolaryngologist who specializes in facial plastic surgery.
5209 LAKE WASHINGTON BLVD NE, Kirkland, WA 98033
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Daniel James Liebertz M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 19, 2017 through September 19, 2027.

Opt-Out Effective DateSeptember 19, 2017
Opt-Out In Effect ThroughSeptember 19, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

YARROW BAY PLASTIC SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
5209 LAKE WASHINGTON BLVD NE, SUITE 115
KIRKLAND, WA 98033
King County (425) 822-0300

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 Daniel Liebertz's NPI number?

The NPI number for Daniel Liebertz is 1740592849. It was assigned to this individual provider in the NPPES registry on July 6, 2010.

Where is Daniel Liebertz located?

Daniel Liebertz practices at 5209 Lake Washington Blvd NE Ste 115, Kirkland, WA 98033. The listed phone number is (425) 822-0300.

What is Daniel Liebertz's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Daniel Liebertz enrolled in Medicare?

No. Daniel Liebertz has opted out of Medicare through September 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Daniel Liebertz was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.