Individual provider Active NPI

Kevin Liu, DO

  • Dermatology Physician
  • Allentown, PA
National Provider Identifier
1174144208
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS023894 Issued in PA
Practice address
1259 S Cedar Crest Blvd Ste 100
Allentown, PA 18103-6373
Phone
(610) 437-4134
Fax
(610) 433-9690
NPI assigned
Apr 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS023894 PA Primary

Addresses

Primary practice location

1259 S Cedar Crest Blvd Ste 100
Allentown, PA 18103-6373

Mailing address

1259 S Cedar Crest Blvd Ste 100
Allentown, PA 18103-6373
Phone (610) 437-4134

Other practice location 1

236 Brodhead Rd
Bethlehem, PA 18017-8924
Phone (610) 437-4134

Other practice location 2

400 N 17th St Ste 207
Allentown, PA 18104-5052
Phone (610) 969-4470

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kliu@adaltd.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240809000288 PA Practitioner - Dermatology 0941631030 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology Associates, LTD.Group PAC ID 0244138972, 18 clinicians

Practice addresses (Care Compare)

1259 S Cedar Crest Blvd
Suite 100
Allentown, PA 18103-6373
Phone (610) 437-4134

400 N 17TH St
Allentown, PA 18104-5052

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.03 of 100Reported as group
Quality
93.26
Promoting interoperability
92
Improvement activities
40
Cost
90.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision106
Removal of skin lesions1109
Removal or shaving of skin growth1-10
Skin biopsy322

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology Associates, LTD. Dermatology CurrentSince Sep 16, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 2, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 2, 2025 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients

Locations

1259 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103
Phone (610) 437-4134

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

400 N 17th St
Ste 207
Allentown, PA 18104
Phone (610) 402-2810

236 Brodhead Rd
Bethlehem, PA 18017
Phone (610) 437-4134

Interoperability endpoints

  • Direct secure messaging: kliu@adaltd.emadirect.md

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1174144208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 S CEDAR CREST BLVD STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036373",
            "telephone_number": "610-437-4134",
            "fax_number": "610-433-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 S CEDAR CREST BLVD STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036373",
            "telephone_number": "610-437-4134",
            "fax_number": "610-433-9690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Brodhead Rd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180178924",
            "country_code": "US",
            "telephone_number": "610-437-4134",
            "fax_number": "610-433-9690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N 17th St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181045052",
            "country_code": "US",
            "telephone_number": "610-969-4470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "KEVIN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-29",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "OS023894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kliu@adaltd.emadirect.md",
            "affiliation": "N",
            "address_1": "1259 S Cedar Crest Blvd Ste 100",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181036373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.