KRISTIN A LIEBERMAN (MD) – Diagnostic Radiology Physician, NPI 1053413708

KRISTIN A LIEBERMAN (MD) is a healthcare provider. based in Roseville, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 59175 (MN). The NPI Number for KRISTIN A LIEBERMAN (MD) is 1053413708

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN A LIEBERMAN (MD)
NPI
1053413708
Phone
(651) 292-2000
Address
2355 HIGHWAY 36 W
Enumeration Date
2 September 2006
Last Update Date
19 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
6126727422
Graduation Year
1995 (31 years ago)
PAC ID
0648267682
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20150410001347
Address ID
MN554550363MI500XXSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

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Provider Addresses for KRISTIN A LIEBERMAN (MD)

  • 2355 HIGHWAY 36 W

    STE 100

    ROSEVILLE, MN 551133905

    Phone: (651) 292-2000

    Type: Mailing

  • 166, East 4th Street, Downtown, Saint Paul, Ramsey County, Minnesota, 55101, United States

    SAINT PAUL, MN 551011421

    Phone: (651) 292-2000

    Type: Mailing

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: 2023-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20040429001336IDiagnostic RadiologyWITBD
I20150410001347IDiagnostic RadiologyMNTBD
I20220902002525IDiagnostic RadiologyNDTBD
I20230906002026IDiagnostic RadiologyFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70450Ct scan head or brain without contrast757733$0
72125Ct scan of upper spine without contrast246243$0
70498Ct scan of blood vessels of neck with contrast114113$0
70496Ct scan of blood vessels of head with contrast109108$0
70553Mri scan of brain before and after contrast8281$0
View full utilization report →

Insurance plans in this area (ZIP 55113)

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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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

What number should I use to identify KRISTIN A LIEBERMAN (MD) for billing?
Administrative and clinical systems typically use NPI 1053413708 for KRISTIN A LIEBERMAN (MD).
Is KRISTIN A LIEBERMAN (MD) currently accepting referrals based on NPI status?
Registry metadata lists KRISTIN A LIEBERMAN (MD) as active.
Which specialty label fits KRISTIN A LIEBERMAN (MD)?
NPPES ties KRISTIN A LIEBERMAN (MD) to Diagnostic Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is KRISTIN A LIEBERMAN (MD) tied to Roseville, Minnesota?
If you are local to Roseville, Minnesota, KRISTIN A LIEBERMAN (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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