Individual provider Active NPI

Jean H Liu, MD

  • Interventional Cardiology Physician
  • San Antonio, TX
National Provider Identifier
1003886409
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
H4988 Issued in TX
Practice address
1139 E Sonterra Blvd Ste 520
San Antonio, TX 78258-4347
Phone
(210) 490-6000
Fax
(210) 490-4658
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X H4988 TX Primary

Addresses

Primary practice location

1139 E Sonterra Blvd Ste 520
San Antonio, TX 78258-4347

Mailing address

4411 Medical Dr Ste 300
San Antonio, TX 78229-3824
Phone (210) 614-5400

Other practice location 1

4411 Medical Dr
Ste 300
San Antonio, TX 78229-3824
Phone (210) 614-5400

Other identifiers 4

IdentifierTypeStateIssuer
8CM508OtherTXBCBS
124300806MedicaidTX
TXB112504OtherTXMEDICARE
P00898257OtherTXRAILROAD MEDICARE

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
I20040712000063 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular Disease 0840278313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Peripheral Vascular Disease
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiology Clinic of San Antonio, PLLCGroup PAC ID 1153517420, 125 clinicians

Practice addresses (Care Compare)

4411 Medical Dr
Suite 300
San Antonio, TX 78229-3824
Phone (210) 614-5400

Hospital & facility affiliations

  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Clinic of San Antonio, PLLC Interventional Cardiology CurrentSince Sep 1, 2010 Accepting new patients
Imed Healthcare Associates, PLLC Past Accepting new patients
Methodist Medical Group, PLLC Interventional Cardiology Past Accepting new patients

Locations

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

1139 E Sonterra Blvd
Ste 520
San Antonio, TX 78258

4411 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 582-5145

1139 E Sonterra Blvd
Ste 201
San Antonio, TX 78258

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

Networks

  • TX HMO
  • TX HMO D-SNP

Interoperability endpoints

  • Direct secure messaging: jean.liu@hca7.eclinicaldirectplus.com
  • Direct secure messaging: 3621-liu-jean@direct.leadingreach.com

Organizations & group practices 3

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003886409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293824",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD STE 520",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584347",
            "telephone_number": "210-490-6000",
            "fax_number": "210-490-4658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4411 Medical Dr",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293824",
            "country_code": "US",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-2413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "JEAN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "H4988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CM508",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124300806",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB112504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00898257",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.