Liqiao Ma, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

269679 Issued in MA

Practice address

5012 US Hwy 75 Ste 200
Denison, TX 75020-4610

Phone

(903) 463-2223

Fax

(903) 463-2224

NPI assigned

Mar 31, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Dermatology

Education

University of Texas Southwestern Medical School at Dallas, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

89.8 of 100Reported as group

Promoting interoperability

88

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  TX

  Medicare reassignment Care Compare group NPD
• Daniel J Ladd DO PA

  • Dermatology Physician
  • Austin, TX
  • NPI 1326238296
  Medicare reassignment NPD
• Daniel J Ladd Jr DO PA Dba Austin Center for Skin Health and Rejuvenat

  • Dermatology Physician
  • Bastrop, TX
  • NPI 1831334291
  NPD
• Premier Pulmonary Critical Care and Sleep Medicine, PA

  • Pulmonary Disease Physician
  • Denison, TX
  • NPI 1740557909
  NPD
• Nedab LLC

  • Dermatology Physician
  • Beverly, MA
  • NPI 1861864100
  NPD (past)

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1174941835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 JEFFERSON ST",
            "address_2": "STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316200",
            "telephone_number": "512-451-0139",
            "fax_number": "512-323-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 US HWY 75 STE 200",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204610",
            "telephone_number": "903-463-2223",
            "fax_number": "903-463-2224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 Brown St Ste 304C",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018306790",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "fax_number": "978-691-5693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "198 Massachusetts Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018454143",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "fax_number": "978-691-5693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MA",
        "first_name": "LIQIAO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "269679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ori M Lotan, MD
• Melissa Deanne Loven, OTA
• Joshua J Lucas, M.D.
• Lung Specialist Associates of Texas PLLC
• John Ly
• Terrence R Madsen, M.A.
• April Carney Mahfood, RD, LD
• Maziar Mahjoobi, D.O.
• Main St. Optical
• Jodi Mandrell, PHARMD

• Dermatology Physician in Denison, TX
• Providers in Denison, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.

Verify at the official NPI Registry.