Jimmy Liu, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JIMMY LIU, M.D., P.A.

Practice address

27499 Riverview Center Blvd Ste 213
Bonita Springs, FL 34134-4334

Phone

(239) 345-8001

NPI assigned

Feb 23, 2016

Organization subpart

No

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

Authorized official

Name

Jimmy Cheng-Yi Liu, MDNPI 1699092627

Title

Owner, MD

Phone

(724) 759-9819

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jimmy Cheng-Yi Liu, MD

  • Internal Medicine Physician
  • Bonita Springs, FL
  • NPI 1699092627
  Medicare reassignment Care Compare group NPD Authorized official
• Jenna Marie Heller, ARNP

  • Nurse Practitioner
  • Bonita Springs, FL
  • NPI 1457935231
  Medicare reassignment Care Compare group NPD
• Adrian Martinez Rubio, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1366154270
  Medicare reassignment NPD
• Nicole Outten, MD

  • Student in an Organized Health Care Education/Training Program
  • Fort Myers, FL
  • NPI 1568619476
  NPD (past)

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1194184861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21301 S TAMIAMI TRL",
            "address_2": "SUITE 320 PMB 222",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339282942",
            "telephone_number": "239-345-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27499 RIVERVIEW CENTER BLVD STE 213",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344334",
            "telephone_number": "239-345-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21301 S Tamiami Trl",
            "address_2": "Suite 320 PMB 222",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339282942",
            "country_code": "US",
            "telephone_number": "724-759-9819",
            "fax_number": "239-345-8003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JIMMY LIU, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "CHENG-YI",
        "authorized_official_title_or_position": "OWNER, MD",
        "authorized_official_telephone_number": "724-759-9819",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102334300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Timothy John Jernberg, D.M.D.
• Jessica Carr, LMHC, LLC
• Tatjana Jobsky
• Debra Johnson, M.ED.
• James Thomas Johnson, CRNA
• Paige Johnson, RPH
• Joint Replacement Institute LLC

• Internal Medicine Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.