Individual provider Active NPI

Jason Liang, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tulsa, OK
National Provider Identifier
1003235250
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.005765 Issued in IL
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

Updated by the provider on Jul 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170808000113 IL Practitioner - Podiatry 2365713401 Reassigns benefits to 1 organization
I20240604001976 OK Practitioner - Podiatry 2365713401 Reassigns benefits to 1 organization

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 100Reported as group
Quality
55.9
Promoting interoperability
100
Improvement activities
40
Cost
72.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of nail tissue247
Removal or shaving of skin growth85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005765ILMDFoot & Ankle Surgery Podiatrist
41000307AINMDFoot & Ankle Surgery Podiatrist
396OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Tulsa Foot & Ankle Specialist PLLC Podiatrist CurrentSince Jul 2, 2024 Accepting new patients
Metro Tulsa Foot & Ankle Specialist PLLC Podiatrist CurrentSince Jul 2, 2024 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Jul 31, 2017 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

  • Direct secure messaging: jliang22022@sih.direct-ci.com
  • FHIR API: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.