Individual provider Active NPI

Xiaohong Liu

  • Reproductive Endocrinology Physician
  • Washington, DC
National Provider Identifier
1174987010
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
MD210011973 Issued in DC
Practice address
1111 19TH St NW Ste 104
Washington, DC 20036-3619
Phone
(202) 301-3595
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 0101268297 VA
Reproductive Endocrinology Physician 207VE0102X 35.148811 OH
Reproductive Endocrinology Physician 207VE0102X 32979 WV
Reproductive Endocrinology Physician 207VE0102X C1-0026367 DE
Reproductive Endocrinology Physician 207VE0102X 2023-02843 NC
Reproductive Endocrinology Physician 207VE0102X D97751 MD
Reproductive Endocrinology Physician 207VE0102X 25MA12077400 NJ
Reproductive Endocrinology Physician 207VE0102X 328048 NY
Reproductive Endocrinology Physician 207VE0102X MD210011973 DC Primary

Addresses

Primary practice location

1111 19TH St NW Ste 104
Washington, DC 20036-3619

Mailing address

333 S Desplaines St Ste 201
Chicago, IL 60661-5514

Other practice location 1

102 5th Ave
New York, NY 10011-6902
Phone (347) 778-2542

Other practice location 2

6000 Executive Blvd Ste 500
North Bethesda, MD 20852-3858
Phone (301) 363-0226

Other practice location 3

16 Chambers St
Princeton, NJ 08542-3708
Phone (609) 632-1581

Other practice location 4

16 E 40th St Fl 2
New York, NY 10016-0113
Phone (646) 751-7755

Other practice location 5

8845 Lyra Dr
Columbus, OH 43240
Phone (380) 222-2731

Other practice location 6

420 Providence Road
Charlotte, NC 28207
Phone (980) 242-5345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170822002543 KY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4981976214
I20200628000028 VA Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 4981976214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD210011973DCMDReproductive Endocrinology Physician
C1-0026367DEMDReproductive Endocrinology Physician
D97751MDMDReproductive Endocrinology Physician
2023-02843NCMDReproductive Endocrinology Physician
25MA12077400NJMDReproductive Endocrinology Physician
328048NYMDReproductive Endocrinology Physician
35.148811OHMDReproductive Endocrinology Physician
32979WVMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peach State Medical Practice, PC Reproductive Endocrinology Past Accepting new patients
Empire Medical Practice, PC Past Accepting new patients
Peach State Medical Practice, PC Reproductive Endocrinology PastSince Jun 18, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1174987010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S DESPLAINES ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 19TH ST NW STE 104",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363619",
            "telephone_number": "202-301-3595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100116902",
            "country_code": "US",
            "telephone_number": "347-778-2542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Executive Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "North Bethesda",
            "state": "MD",
            "postal_code": "208523858",
            "country_code": "US",
            "telephone_number": "301-363-0226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Chambers St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085423708",
            "country_code": "US",
            "telephone_number": "609-632-1581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 E 40th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160113",
            "country_code": "US",
            "telephone_number": "646-751-7755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8845 Lyra Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43240",
            "country_code": "US",
            "telephone_number": "380-222-2731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Providence Road",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28207",
            "country_code": "US",
            "telephone_number": "980-242-5345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "XIAOHONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "VA",
            "license": "0101268297",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OH",
            "license": "35.148811",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "WV",
            "license": "32979",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "DE",
            "license": "C1-0026367",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NC",
            "license": "2023-02843",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MD",
            "license": "D97751",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NJ",
            "license": "25MA12077400",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "328048",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "DC",
            "license": "MD210011973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.