DR. AMARA ASHJIAN LIEBERMAN (M.D.) – Dermatology Physician, NPI 1821030271

DR. AMARA ASHJIAN LIEBERMAN (M.D.) is a healthcare provider. based in Bala cynwyd, Pennsylvania. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. MD057250L (PA). The NPI Number for DR. AMARA ASHJIAN LIEBERMAN (M.D.) is 1821030271

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMARA ASHJIAN LIEBERMAN (M.D.)
NPI
1821030271
Phone
(610) 664-3300
Address
1 BALA PLZ
Enumeration Date
11 June 2006
Last Update Date
17 December 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
2094762000
Graduation Year
1990 (36 years ago)
PAC ID
4385839281
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20160928001922
Address ID
CA952103377ST7373XLANE300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

808 DERMATOLOGY in PA

Provider Addresses for DR. AMARA ASHJIAN LIEBERMAN (M.D.)

  • 1 BALA PLZ

    SUITE 620

    BALA CYNWYD, PA 190041403

    Phone: (610) 664-3300

    Fax: (610) 664-1151

    Mailing address matches the actual address.

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: 2016-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160928001922IDermatologyCATBD

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 19004)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

How is DR. AMARA ASHJIAN LIEBERMAN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. AMARA ASHJIAN LIEBERMAN (M.D.) with NPI 1821030271.
Does CMS list DR. AMARA ASHJIAN LIEBERMAN (M.D.) as active?
Yes — DR. AMARA ASHJIAN LIEBERMAN (M.D.) is active in the NPI listing used on this page.
What is DR. AMARA ASHJIAN LIEBERMAN (M.D.)'s specialty?
The listing groups DR. AMARA ASHJIAN LIEBERMAN (M.D.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does DR. AMARA ASHJIAN LIEBERMAN (M.D.) list a practice location?
Patients near Bala Cynwyd, Pennsylvania may find DR. AMARA ASHJIAN LIEBERMAN (M.D.) in results; validate coverage separately.
Is the information about DR. AMARA ASHJIAN LIEBERMAN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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