DR. MAIKE LIEBERMANN (MD) – Obstetrics & Gynecology Physician, NPI 1396907168

DR. MAIKE LIEBERMANN (MD) is a healthcare provider. based in Maywood, Illinois. specializing in HOSPITALIST, OBSTETRICS/GYNECOLOGY, OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 125055464 (IL). The NPI Number for DR. MAIKE LIEBERMANN (MD) is 1396907168

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAIKE LIEBERMANN (MD)
NPI
1396907168
Phone
(708) 216-9000
Address
2160 S 1ST AVE
Enumeration Date
1 July 2008
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082168372
Graduation Year
1996 (30 years ago)
PAC ID
4183877327
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20130121000021
Address ID
IL601533328MA2160XAVEX400

Contacts

Secure Messaging
mliebermann152@direct.luhs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness95
Years active:17State licenses:2Other names

2,390 HOSPITALIST in IL

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Provider Addresses for DR. MAIKE LIEBERMANN (MD)

  • 2160 S 1ST AVE

    MAYWOOD, IL 60153

    Phone: (708) 216-9000

    Type: Mailing

  • North California Avenue, East Garfield Park, Chicago, Cook County, Illinois, 60625, United States

    CHICAGO, IL 60625

    Phone: (773) 989-3838

    Type: Location

  • Oak Park, 950, South Oak Park Avenue, Oak Park, Cook County, Illinois, 60304, United States

    OAK PARK, IL 603021604

    Phone: (708) 763-8339

    Type: Mailing

  • 5145 N California Ave Fl 3

    Chicago, IL 60625

    Phone: (773) 989-3838

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130121000021IObstetrics/GynecologyILTBD
I20180723000158IHospitalistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60153)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779488903View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. MAIKE LIEBERMANN (MD)?
For DR. MAIKE LIEBERMANN (MD), use NPI 1396907168 as the unique 10-digit identifier.
Active or inactive — what applies to DR. MAIKE LIEBERMANN (MD)?
You should see DR. MAIKE LIEBERMANN (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. MAIKE LIEBERMANN (MD)?
DR. MAIKE LIEBERMANN (MD)'s specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MAIKE LIEBERMANN (MD)?
Travel planning: use Maywood, Illinois as the reference point for DR. MAIKE LIEBERMANN (MD), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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