Individual provider Active NPI

Theresa Ong Liu Dumlao, MD

  • Hematology & Oncology Physician
  • Gilbert, AZ
National Provider Identifier
1043477441
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
32590 Issued in AZ
Practice address
2946 E Banner Gateway Dr
Suite 450
Gilbert, AZ 85234-2165
Phone
(480) 256-6444
Fax
(480) 256-3359
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X P0083 TX
Hematology (Internal Medicine) Physician 207RH0000X 25912 AL
Medical Oncology Physician 207RX0202X 25912 AL
Hematology & Oncology Physician 207RH0003X 32590 AZ Primary

Addresses

Primary practice location

2946 E Banner Gateway Dr
Suite 450
Gilbert, AZ 85234-2165

Mailing address

2940 E. Banner Gateway Dr
Suite 450
Gilbert, AZ 85234-2165
Phone (480) 256-6444

Other practice location 1

2946 E Banner Gateway Dr
Suite 450
Gilbert, AZ 85234-2165
Phone (256) 466-0071

Other identifiers 5

IdentifierTypeStateIssuer
04101524MedicaidMS
287754001 (MDACC)MedicaidTX
139243MedicaidAL
8DC007OtherTXBCBS (MDACC)
51591744OtherALBCBS - 1 INFIRMARY CIRCLE

Other names 1

  • Theresa Liu Dumlao Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150323001915 AZ Practitioner - Hematology/Oncology 0446222350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Cancer Center Specialists LLCGroup PAC ID 6103097779, 343 clinicians

Practice addresses (Care Compare)

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 543-2000

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone (480) 256-6444

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone 6028655555480256

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122
  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089

Merit-based Incentive Payment System (MIPS)

Final score
78.42 of 100Reported as group
Quality
62.19
Promoting interoperability
99
Improvement activities
40
Cost
61.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25912ALMDHematology (Internal Medicine) Physician
P0083TXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. Hematology & Oncology Current Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Feb 15, 2015 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Feb 15, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Ste 450
Gilbert, AZ 85234
Phone (256) 466-0071

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

2940 E Banner Gateway Dr
Ste 450
Gilbert, AZ 85234
Phone (480) 256-3676

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

Organizations & group practices 4

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1043477441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 E. BANNER GATEWAY DR",
            "address_2": "SUITE 450",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342165",
            "telephone_number": "480-256-6444",
            "fax_number": "480-256-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 E BANNER GATEWAY DR",
            "address_2": "SUITE 450",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342165",
            "telephone_number": "480-256-6444",
            "fax_number": "480-256-3359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2946 E Banner Gateway Dr",
            "address_2": "Suite 450",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342165",
            "country_code": "US",
            "telephone_number": "256-466-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU DUMLAO",
        "first_name": "THERESA",
        "middle_name": "ONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "P0083",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "AL",
            "license": "25912",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "AL",
            "license": "25912",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "32590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04101524",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287754001  (MDACC)",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139243",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS (MDACC)",
            "identifier": "8DC007",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS -  1 INFIRMARY CIRCLE",
            "identifier": "51591744",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "DUMLAO",
            "middle_name": "LIU",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.