Individual provider Active NPI

Jerry Liu, MD

  • Infectious Disease Physician
  • Dallas, TX
National Provider Identifier
1003375296
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
U9299 Issued in TX
Practice address
7777 Forest LN Ste B412
Dallas, TX 75230-6824
Phone
(972) 566-5560
Fax
(972) 566-5562
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X U9299 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste B412
Dallas, TX 75230-6824

Mailing address

7777 Forest LN Ste B412
Dallas, TX 75230-6824
Phone (972) 566-5560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710000243 TX Practitioner - Infectious Disease 2163967548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Michigan Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Id Specialists, P.a.Group PAC ID 0345262515, 5 clinicians

Practice addresses (Care Compare)

7777 Forest Lane
B 412
Dallas, TX 75230-6824

7777 Forest LN
Dallas, TX 75230-6824
Phone (972) 566-5560

Hospital & facility affiliations

  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
  • Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: jliu91458@direct.phhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1003375296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE B412",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306824",
            "telephone_number": "972-566-5560",
            "fax_number": "972-566-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE B412",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306824",
            "telephone_number": "972-566-5560",
            "fax_number": "972-566-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "U9299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.