Individual provider Active NPI

Shiquan Liu, MD, PHD

  • Internal Medicine Physician
  • Bothell, WA
National Provider Identifier
1104182757
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60741581 Issued in WA
Practice address
10701 E Riverside Dr
Apt# 2
Bothell, WA 98011
Phone
(917) 302-4077
NPI assigned
Apr 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60741581 WA Primary
Hospitalist Physician 208M00000X 15365 ND

Addresses

Primary practice location

10701 E Riverside Dr
Apt# 2
Bothell, WA 98011

Mailing address

10701 E Riverside Dr
Apt# 2
Bothell, WA 98011-3752

Other practice location 1

502 W 4th Ave
Toppenish, WA 98948-1616
Phone (303) 390-1940

Other practice location 2

2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 857-5000

Other practice location 3

1016 Tacoma Ave
Sunnyside, WA 98944-2263
Phone (303) 390-1940

Other practice location 4

1 Burdick Expy W
Minot, ND 58701-4406
Phone (701) 857-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ND, WY, NM4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170906002604 WA Practitioner - HospitalistPractitioner - Internal Medicine 1850664210 Reassigns benefits to 3 organizations
I20181108002157 ND Practitioner - Hospitalist 1850664210 Reassigns benefits to 4 organizations
I20200403000399 WY Practitioner - Internal Medicine 1850664210 Reassigns benefits to 1 organization
I20200803003241 NM Practitioner - Internal Medicine 1850664210 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians
Artesia General HospitalGroup PAC ID 9537070586, 44 clinicians

Practice addresses (Care Compare)

400 S 15TH St
Worland, WY 82401-3531
Phone (303) 390-1940

502 W 4TH Ave
Toppenish, WA 98948-1616
Phone (509) 865-3105

702 N 13TH St
Artesia, NM 88210-1166
Phone (575) 748-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
15365NDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Home Care CurrentSince Oct 5, 2018 Accepting new patients
St Joseph's Hospital and Health Center CurrentSince Jun 1, 2019 Accepting new patients
Artesia General Hospital CurrentSince Apr 3, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Trinity Health CurrentSince May 1, 2019 Accepting new patients
Hospital Care Consultants Region II Inc Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Artesia General Hospital Internal Medicine CurrentSince Apr 3, 2023 Accepting new patients
Mercy Hospital of Devils Lake Current Accepting new patients
St Joseph's Hospital and Health Center CurrentSince Jun 1, 2019 Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Capital Medical Center Specialty Physicians, LLC Hospitalist CurrentSince Jul 26, 2018 Accepting new patients
Trinity Health CurrentSince May 1, 2019 Accepting new patients
Mercy Medical Center Internal Medicine CurrentSince Oct 5, 2018 Accepting new patients
Ess Hospitalist LLC Hospitalist CurrentSince Aug 15, 2020 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Nov 3, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Oct 14, 2018 Accepting new patients
Mercy Medical Center Current Accepting new patients
S Pannu Inc Internal Medicine Past Accepting new patients
Sunnyside Community Hospital Association Past Accepting new patients
SHC Medical Center Toppenish Past Accepting new patients
Artesia General Hospital Past Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine Past Accepting new patients

Locations (25 of 26)

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

3290 Solutions Ctr
Chicago, IL 60677

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

1 Burdick Expy W
Minot, ND 58701
Phone (701) 857-5124

2305 37th Ave SW
Minot, ND 58701
Phone (701) 418-8550

101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262

702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333

900 W Ash St
Deming, NM 88030
Phone (505) 546-2761

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

1025 S 2nd Ave
Walla Walla, WA 99362
Phone (509) 525-0480

Interoperability endpoints

  • Direct secure messaging: sliu142@yourcarecommunity.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 6

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1104182757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 E RIVERSIDE DR",
            "address_2": "APT# 2",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 E RIVERSIDE DR",
            "address_2": "APT# 2",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98011",
            "telephone_number": "917-302-4077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 W 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Toppenish",
            "state": "WA",
            "postal_code": "989481616",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-857-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1016 Tacoma Ave",
            "address_purpose": "LOCATION",
            "city": "Sunnyside",
            "state": "WA",
            "postal_code": "989442263",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Burdick Expy W",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587014406",
            "country_code": "US",
            "telephone_number": "701-857-5000",
            "fax_number": "701-857-3576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "SHIQUAN",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60741581",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ND",
            "license": "15365",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.