Individual provider Active NPI

Lu Liu, PA

  • Surgical Physician Assistant
  • Richardson, TX
National Provider Identifier
1093776635
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA02204 Issued in TX
Practice address
2821 E President George Bush Hwy Ste 201
Richardson, TX 75082-4277
Phone
(972) 498-4791
Fax
(972) 498-4939
NPI assigned
Mar 31, 2006
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA02204 TX Primary

Addresses

Primary practice location

2821 E President George Bush Hwy Ste 201
Richardson, TX 75082-4277

Mailing address

2821 E President George Bush Hwy Ste 201
Richardson, TX 75082-4277
Phone (972) 498-4791

Other identifiers 1

IdentifierTypeStateIssuer
187944701MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050415000327 TX Practitioner - Physician Assistant 4284671744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

2805 E President George Bush Hwy
Richardson, TX 75082-3561
Phone (469) 726-6100

2821 E President George Bush Hwy
Richardson, TX 75082-4277

2831 E President George Bush Hwy
Richardson, TX 75082-3561
Phone (972) 498-4826

3000 Blackburn St
Suite 130
Dallas, TX 75204-2217
Phone (214) 599-8624

613 S Hwy 78
Suite 200
Wylie, TX 75098-5525
Phone (972) 941-8700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Hospital Authority CurrentSince May 1, 2015 Accepting new patients
Medhealth Current Accepting new patients
Methodist Transplant Physicians Past Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients
Surgical Assistants of Dallas Supplies, LLC Surgical Past Accepting new patients
Cardiovascular Specialty Associates of North Texas, P.a. Past Accepting new patients

Locations

221 W Colorado Blvd
Ste 438
Dallas, TX 75208

3500 Gaston Ave
Dallas, TX 75246

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2821 George Bush Hwy
Ste 201
Richardson, TX 75082
Phone (972) 498-4791

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1504/brand/5/csg/87/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1093776635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 E PRESIDENT GEORGE BUSH HWY STE 201",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824277",
            "telephone_number": "972-498-4791",
            "fax_number": "972-498-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 E PRESIDENT GEORGE BUSH HWY STE 201",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824277",
            "telephone_number": "972-498-4791",
            "fax_number": "972-498-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "LU",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA02204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187944701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.