Individual provider Active NPI

Jianmei Liu, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1114949963
Registry record updated Jan 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2004024409 Issued in MO
Practice address
6400 Clayton Rd
Suite 401
Saint Louis, MO 63117-1850
Phone
(314) 644-6500
Fax
(314) 644-6501
NPI assigned
Jul 24, 2006
Last updated
Jan 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2004024409 MO Primary

Addresses

Primary practice location

6400 Clayton Rd
Suite 401
Saint Louis, MO 63117-1850

Mailing address

PO Box 6131
Chesterfield, MO 63006-6131
Phone (314) 647-8282

Other identifiers 1

IdentifierTypeStateIssuer
207245705MedicaidMO

Other names 1

  • Jaime Liu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050413000998 MO Practitioner - Internal Medicine 0648217372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1032 Polo Downs Dr
Chesterfield, MO 63017-8358
Phone (314) 635-4777

4624 Lansdowne Ave
Saint Louis, MO 63116-1523
Phone (314) 351-6888

615 Rancho LN
Florissant, MO 63031-1717
Phone (314) 839-2150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
38.77 of 100Reported as individual
Quality
19.04
Improvement activities
0
Cost
70.52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jianmei Liu, MD, LLC Internal Medicine CurrentSince May 22, 2007 Accepting new patients
Delmar Gardens West Operating, LLC Past Accepting new patients
Lansdowne Healthcare, LLC Past Accepting new patients
Delmar Gardens of Creve Coeur Operating, LLC Past Accepting new patients
Beauvais Operator LLC Past Accepting new patients
Rancho Operator LLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Delmar Gardens on the Green Operating, LLC Past Accepting new patients

Locations

3625 Magnolia Ave
Saint Louis, MO 63110
Phone (314) 771-2990

4624 Lansdowne Ave
Saint Louis, MO 63116
Phone (314) 351-6888

6400 Clayton Rd
Ste 401
Saint Louis, MO 63117
Phone (314) 644-6500

Organizations & group practices 8

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 10

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421539200000",
    "number": "1114949963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6131",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630066131",
            "telephone_number": "314-647-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 CLAYTON RD",
            "address_2": "SUITE 401",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171850",
            "telephone_number": "314-644-6500",
            "fax_number": "314-644-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JIANMEI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2015-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2004024409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207245705",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "LIU",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.