Active NPI
Baogang Liu, MD
- Surgery Physician
- Elizabeth City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2015-02508
- Practice address
- 1177 N Road St
Elizabeth City, NC 27909-3388 - Phone
- (252) 384-2560
- Fax
- (252) 384-9997
- NPI assigned
- Jun 23, 2008
- Last updated
- Dec 6, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NC | ||
| Surgery Physician | 208600000X | 0101269649 | VA | |
| Surgery Physician | 208600000X | 2015-02508 | NC | Primary |
| Surgical Oncology Physician | 2086X0206X | 0101250133 | VA |
Addresses
Primary practice location
1177 N Road St
Elizabeth City, NC 27909-3388
Mailing address
1177 N Road St
Elizabeth City, NC 27909-3388
Phone (252) 337-9440
Other practice location 1
2232 Wilborn Ave Ste C
South Boston, VA 24592-1662
Phone (434) 517-3910
Other practice location 2
Medical Central Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-4241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1177 N Rd St
Elizabeth City, NC 27909-3388
Phone (252) 384-2560
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 12 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 16 |
| Melanoma (skin cancer) excision | 11 |
| Removal of tissue | 22 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101250133 | VA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dominion Health Medical Associates LTD | Current | Accepting new patients | |
| Dominion Health Medical Assoc. | Current | Accepting new patients | |
| Sentara Medical Group | Surgical Oncology | Current | Accepting new patients |
| Albemarle Physician Services - Sentara, Inc | Current | Accepting new patients | |
| Dominion Health Medical Assoc | Current | Accepting new patients | |
| Albemarle Physician Services - Sentara, Inc | Surgery | Current | Accepting new patients |
| Albemarle Physician Services - Sentara, Inc | Surgery | Current | Accepting new patients |
Locations
211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590
1177 N Road St
Elizabeth City, NC 27909
Phone (252) 337-9440
905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
2232 Wilborn Ave
Ste C
South Boston, VA 24592
Phone (434) 517-3910
2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095
2790 Godwin Blvd
Ste 305
Suffolk, VA 23434
Phone (757) 934-4222
Interoperability endpoints
- bliu@direct.health-quest.org
- bliu264486@direct.sentara.net
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1942443130
NC, Surgery
-
dba Sentora Halifax General Surgery
- Ambulatory Surgical Clinic/Center
- South Boston, VA
- NPI 1255771770
-
dba Sentara Urgent Care
- Urgent Care Clinic/Center
- Kitty Hawk, NC
- NPI 1306202627
-
dba Sentara Surgery Specialists
- Surgery Physician
- Elizabeth City, NC
- NPI 1962719609
-
dba Sentara Cardiology Specialists
- Cardiovascular Disease Physician
- South Boston, VA
- NPI 1356138879
-
dba Sentara Behavioral Health Specialists
- Community/Behavioral Health Agency
- South Boston, VA
- NPI 1215411483
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sentara Albemarle Medical Center
- General Acute Care Hospital
- Elizabeth City, NC
- NPI 1245211168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1144481029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 N ROAD ST",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093388",
"telephone_number": "252-337-9440",
"fax_number": "252-384-9997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1177 N ROAD ST",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093388",
"telephone_number": "252-384-2560",
"fax_number": "252-384-9997"
}
],
"practiceLocations": [
{
"address_1": "2232 Wilborn Ave Ste C",
"address_purpose": "LOCATION",
"city": "South Boston",
"state": "VA",
"postal_code": "245921662",
"country_code": "US",
"telephone_number": "434-517-3910",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Medical Central Blvd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271570001",
"country_code": "US",
"telephone_number": "336-716-4241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "BAOGANG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-23",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101269649",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2015-02508",
"primary": true
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "VA",
"license": "0101250133",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.