Active NPI
David A Liu, MD, DDS
- Otolaryngology Physician
- Rock Springs, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 10054A
- Practice address
- 1180 College Dr
Rock Springs, WY 82901-5863 - Phone
- (307) 212-7738
- Fax
- (307) 212-7786
- NPI assigned
- Jan 9, 2006
- Last updated
- Jan 22, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 44355 | MN | |
| Otolaryngology Physician | 207Y00000X | 10054A | WY | Primary |
Addresses
Primary practice location
1180 College Dr
Rock Springs, WY 82901-5863
Mailing address
PO Box 1359
Rock Springs, WY 82902-1359
Phone (307) 212-7738
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1652661 | Other | MN | AMERICAS PPO |
| 6129536 | Medicaid | IA | |
| 040017466 | Other | RR MEDICARE | |
| 1000323 | Other | MN | MEDICA |
| 40M40LI | Other | MN | BCBS |
| 141284 | Other | MN | UCARE |
| 579112000 | Medicaid | MN | |
| HP37497 | Other | MN | HEALTH PARTNERS |
| NA2951029064 | Other | MN | PREFERRED ONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- 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
- Otolaryngology
- Education
- University of Texas Medical School at Houston, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1180 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-8125
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.04 of 100
- Quality
- 64.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44355 | MN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of Sweetwater County | Current | Accepting new patients |
Locations
1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8383
1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352
Organizations & group practices 1
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.
-
dba County of Sweetwater
- Critical Access Hospital
- Rock Springs, WY
- NPI 1558361949
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba County of Sweetwater
- Critical Access Hospital
- Rock Springs, WY
- NPI 1558361949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1093793010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1359",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829021359",
"telephone_number": "307-212-7738",
"fax_number": "307-212-7786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 COLLEGE DR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015863",
"telephone_number": "307-212-7738",
"fax_number": "307-212-7786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD, DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MN",
"license": "44355",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WY",
"license": "10054A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAS PPO",
"identifier": "1652661",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6129536",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "040017466",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1000323",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "40M40LI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "141284",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "579112000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP37497",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "NA2951029064",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.