Active NPI
Lu Liu, PA
- Surgical Physician Assistant
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA02204
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187944701 | Medicaid | TX |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Hospital Authority | Current | 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
- 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.
-
- Medical Physician Assistant
- Fort Worth, TX
- NPI 1164467692
-
dba Wise Health System
- Skilled Nursing Facility
- Decatur, TX
- NPI 1124076401
-
- Physical Medicine & Rehabilitation Physician
- Wylie, TX
- NPI 1215404637
-
dba Csant
- Vascular Surgery Physician
- Rockwall, TX
- NPI 1780851915
-
- Transplant Surgery Physician
- Dallas, TX
- NPI 1003868241
-
- Surgical Physician Assistant
- Dallas, TX
- NPI 1255596086
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Richardson Medical Center
- General Acute Care Hospital
- Richardson, TX
- NPI 1033165501
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.