Active NPI
Clive Kefei Liu, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- MD61076133
- Practice address
- 400 S 43Rd St
Renton, WA 98055-5714 - Phone
- (425) 690-3422
- Fax
- (425) 690-9422
- NPI assigned
- May 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | MD61076133 | WA | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD61076133 | WA |
Addresses
Primary practice location
400 S 43Rd St
Renton, WA 98055-5714
Mailing address
400 S 43Rd St
Renton, WA 98055-5714
Phone (425) 690-3422
Other practice location 1
1901 1st Ave
Department of Obstetrics and Gynecology
New York, NY 10029-7404
Phone (212) 423-6796
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2189204 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Tufts University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16850 SE 272ND St
Suite 210
Covington, WA 98042-4931
Phone (253) 939-9654
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Current | Accepting new patients | |
| Public Hospital District 1 of King County | Past | Accepting new patients | |
| Public Hospital District #1 of King County | Past | Accepting new patients |
Locations
16850 SE 272nd St
Ste 210
Covington, WA 98042
Phone (253) 395-1972
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450
4033 Talbot Rd S
Ste 200
Renton, WA 98055
Phone (425) 271-5437
3600 Lind Ave SW
Ste 100
Renton, WA 98057
Interoperability endpoints
- cliu85620@direct.valleymed.org
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.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
-
dba VMC Children's Therapy
- Rehabilitation Hospital Unit
- Renton, WA
- NPI 1811063308
-
dba Valley Medical Center
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Valley Medical Center
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1043668577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S 43RD ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980555714",
"telephone_number": "425-690-3422",
"fax_number": "425-690-9422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S 43RD ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980555714",
"telephone_number": "425-690-3422",
"fax_number": "425-690-9422"
}
],
"practiceLocations": [
{
"address_1": "1901 1st Ave",
"address_2": "Department of Obstetrics and Gynecology",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100297404",
"country_code": "US",
"telephone_number": "212-423-6796",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "CLIVE",
"middle_name": "KEFEI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-25",
"last_updated": "2022-03-10",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "WA",
"license": "MD61076133",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "WA",
"license": "MD61076133",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2189204",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.