Active NPI
Jason Liang, DPM
- Foot & Ankle Surgery Podiatrist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016.005765
- Practice address
- 3627 S. Harvard Ave
Tulsa, OK 74135 - Phone
- (918) 747-4855
- Fax
- (918) 747-4866
- NPI assigned
- Apr 15, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016005765 | IL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 41000307A | IN | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016.005765 | IL | Primary |
Addresses
Primary practice location
3627 S. Harvard Ave
Tulsa, OK 74135
Mailing address
P.O. Box 100
Dept #460
Bixby, OK 74008-0100
Phone (918) 494-2955
Other practice location 1
19 E Shawnee Dr Ste 3
Murphysboro, IL 62966-7072
Phone (618) 565-1000
Other practice location 2
2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 351-7300
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jliang22022@sih.direct-ci.com | ||
| Direct Messaging Address | jliang22022@sih.direct-ci.com | ||
| Direct Messaging Address | jliang22022@sih.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3627 S Harvard Ave
Tulsa, OK 74135-2227
Phone 91849429021007
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 55.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.01
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 32 |
| Removal of nail tissue | 247 |
| Removal or shaving of skin growth | 85 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.005765 | IL | MD | Foot & Ankle Surgery Podiatrist |
| 41000307A | IN | MD | Foot & Ankle Surgery Podiatrist |
| 396 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Tulsa Foot & Ankle Specialist PLLC | Podiatrist | Current | Accepting new patients |
| Metro Tulsa Foot & Ankle Specialist PLLC | Podiatrist | Current | Accepting new patients |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| Medical Arts Clinic LTD | Past | Accepting new patients | |
| Metro Tulsa Foot & Ankle Specialist PLLC | Podiatrist | Past | Accepting new patients |
| Metro Tulsa Foot & Ankle Specialist PLLC | Podiatrist | Past | Accepting new patients |
| St John Medical Center Inc | Past | Accepting new patients |
Locations
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
3309 Logan Dr
Herrin, IL 62948
Phone (618) 549-1882
19 E Shawnee Dr
Ste 2
Murphysboro, IL 62966
Phone 6184575200 ext. 67008
19 E Shawnee Dr
Ste 3
Murphysboro, IL 62966
Phone (618) 565-1000
701 W Elgin St
Broken Arrow, OK 74012
Phone (918) 455-2001
5711 E 71st St
Ste 115
Tulsa, OK 74136
Phone (918) 294-3668
3627 S Harvard Ave
Tulsa, OK 74135
Phone (918) 747-4855
Interoperability endpoints
- jliang22022@sih.direct-ci.com
- https://fhir4.healow.com/fhir/r4/ADFCDD/Endpoint/ADFCDD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Broken Arrow, OK
- NPI 1477588945
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- Primary Podiatric Medicine Podiatrist
- Tulsa, OK
- NPI 1720467483
-
- Foot & Ankle Surgery Podiatrist
- Tulsa, OK
- NPI 1174610315
-
- Foot & Ankle Surgery Podiatrist
- Sapulpa, OK
- NPI 1881782589
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Family Medicine Physician
- Murphysboro, IL
- NPI 1528035821
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
-
dba Ascension St. John Jenks
- General Acute Care Hospital
- Broken Arrow, OK
- NPI 1497988596
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1033185293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1003235250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 100",
"address_2": "DEPT #460",
"city": "BIXBY",
"state": "OK",
"postal_code": "740080100",
"telephone_number": "918-494-2955",
"fax_number": "918-301-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3627 S. HARVARD AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "74135",
"telephone_number": "918-747-4855",
"fax_number": "918-747-4866"
}
],
"practiceLocations": [
{
"address_1": "19 E Shawnee Dr Ste 3",
"address_purpose": "LOCATION",
"city": "Murphysboro",
"state": "IL",
"postal_code": "629667072",
"country_code": "US",
"telephone_number": "618-565-1000",
"fax_number": "618-565-1010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2601 W Main St",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011031",
"country_code": "US",
"telephone_number": "618-351-7300",
"fax_number": "618-457-7890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIANG",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2024-07-10",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016005765",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "41000307A",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016.005765",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jliang22022@sih.direct-ci.com",
"affiliation": "N",
"address_1": "2601 W Main St",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011031",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jliang22022@sih.direct-ci.com",
"affiliation": "N",
"address_1": "3309 Logan Dr",
"city": "Herrin",
"state": "IL",
"country_code": "US",
"postal_code": "629483732",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jliang22022@sih.direct-ci.com",
"affiliation": "N",
"address_1": "19 E Shawnee Dr Ste 3",
"city": "Murphysboro",
"state": "IL",
"country_code": "US",
"postal_code": "629667072",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.