Individual provider Active NPI

Jeffrey Liu, M.D.

  • Ophthalmology Physician
  • Mountain View, CA
National Provider Identifier
1013145127
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A 114765 Issued in CA
Practice address
1174 Castro St Ste 100
Mountain View, CA 94040-2572
Phone
(650) 961-2585
Fax
(650) 961-6527
NPI assigned
Jun 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A 114765 CA Primary

Addresses

Primary practice location

1174 Castro St Ste 100
Mountain View, CA 94040-2572

Mailing address

1174 Castro St Ste 100
Mountain View, CA 94040-2572
Phone (650) 961-2585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130720000152 CA Practitioner - Ophthalmology 7517108335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Warren Alpert Medical School of Brown University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Laser Eye Medical Group IncGroup PAC ID 4284958067, 4 clinicians

Practice addresses (Care Compare)

1174 Castro St
Suite 100
Mountain View, CA 94040-2572
Phone (650) 961-2585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as group
Quality
86.39
Improvement activities
40
Cost
83.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114765CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jliu@lasik2020.intellechartdirect.net

Organizations & group practices 2

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 3

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1013145127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 CASTRO ST STE 100",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402572",
            "telephone_number": "650-961-2585",
            "fax_number": "650-961-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 CASTRO ST STE 100",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402572",
            "telephone_number": "650-961-2585",
            "fax_number": "650-961-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A 114765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.