Organization Active NPI

Hongbo Liu MD PA

  • Orthopaedic Surgery of the Spine Physician
  • San Antonio, TX
National Provider Identifier
1063808657
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
HONGBO LIU MD PA
Practice address
325 E Sonterra Blvd Ste 110
San Antonio, TX 78258-4055
Phone
(210) 402-1222
Fax
(210) 402-1224
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Hongbo Liu, MDNPI 1275791303
Title
President
Phone
(210) 402-1222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X TX
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X TX Primary

Addresses

Primary practice location

325 E Sonterra Blvd Ste 110
San Antonio, TX 78258-4055

Mailing address

325 E Sonterra Blvd Ste 110
San Antonio, TX 78258-4055
Phone (210) 402-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150821013599 TX Part B Supplier - Clinic/Group Practice 6406161207 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX
O20200804000785 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 6406161207 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

414 Navarro St
Ste 816
San Antonio, TX 78205
Phone (210) 222-2606

19016 Stone Oak Pkwy
Ste 220
San Antonio, TX 78258
Phone (210) 491-4125

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11425/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1063808657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E SONTERRA BLVD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584055",
            "telephone_number": "210-402-1222",
            "fax_number": "210-402-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E SONTERRA BLVD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584055",
            "telephone_number": "210-402-1222",
            "fax_number": "210-402-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONGBO LIU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "HONGBO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-402-1222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.