NPIMap

Individual provider Active NPI

Dongxin Liu, MD

  • Hematology & Oncology Physician
  • Shenandoah, TX
National Provider Identifier
1114152220
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
P0627 Issued in TX
Practice address
17183 Interstate 45 S Ste 110
Shenandoah, TX 77385-3313
Phone
(936) 270-3480
Fax
(936) 270-3479
NPI assigned
May 18, 2009
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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 P0627 TX
Hematology & Oncology Physician 207RH0003X P0627 TX Primary

Addresses

Primary practice location

17183 Interstate 45 S Ste 110
Shenandoah, TX 77385-3313

Mailing address

5331 Fenwick Way CT
Sugar Land, TX 77479-4219
Phone (832) 831-1502

Other practice location 1

18400 Katy Fwy Ste 670
Houston, TX 77094-1378
Phone (832) 522-8521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121019000527 TX Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2163672551 Reassigns benefits to 2 organizations
I20260420000491 IL Practitioner - Hematology/Oncology 2163672551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1120 N Melvin St
Gibson City, IL 60936-1477

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Nov 22, 2021 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Nov 22, 2021 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

18400 Katy Fwy
Ste 670
Houston, TX 77094
Phone (281) 398-4944

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

17183 Interstate 45 S
Ste 110
Shenandoah, TX 77385
Phone (936) 270-3413

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: dliu33298@directhoustonmethodist.org
  • Direct secure messaging: dongxin.liu.p1@direct.houstoncancer.nextgenshare.com

Organizations & group practices 4

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 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1114152220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 FENWICK WAY CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794219",
            "telephone_number": "832-831-1502",
            "fax_number": "832-769-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17183 INTERSTATE 45 S STE 110",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853313",
            "telephone_number": "936-270-3480",
            "fax_number": "936-270-3479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18400 Katy Fwy Ste 670",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770941378",
            "country_code": "US",
            "telephone_number": "832-522-8521",
            "fax_number": "832-522-8624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "DONGXIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P0627",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "P0627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.