Individual provider Active NPI

Xiaosong Liu, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbus, OH
National Provider Identifier
1205583705
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0020680 Issued in OH
Practice address
3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone
(614) 566-4919
NPI assigned
Mar 4, 2022
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0020680 OH Primary
School Registered Nurse 163WS0200X 301135 NC

Addresses

Primary practice location

3535 Olentangy River Rd
Columbus, OH 43214-3908

Mailing address

5151 Reed Rd Ste 225C
Columbus, OH 43220-2553
Phone (614) 884-0641

Other practice location 1

7500 Hospital Dr
Dublin, OH 43016-8518
Phone (614) 544-8000

Other practice location 2

1005 Piedmont Ave
Bristol, VA 24201-2609
Phone (919) 948-8861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230424001484 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224493481 Reassigns benefits to 4 organizations
I20251009003387 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224493481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians
Midwest Physician Anesthesia Services, Inc.Group PAC ID 8921997230, 159 clinicians
Triangle Anesthesia Group, PSCGroup PAC ID 9436161585, 77 clinicians

Practice addresses (Care Compare)

111 S Grant Ave
Columbus, OH 43215-4701

111 S Grant Ave 3Rd FL
Columbus, OH 43215-4701
Phone (614) 566-9184

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-4919

393 E Town St
Columbus, OH 43215-4799

625 James S Trimble Blvd
Paintsville, KY 41240
Phone (606) 789-3511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
301135NCMDSchool Registered Nurse
0020680OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Anesthesia Group PSC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince Mar 1, 2024 Accepting new patients
Ohiohealth Corporation Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Midwest Physician Anesthesia Services, Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Premier Anesthesia of Ohio LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2023 Accepting new patients
Sandusky Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
Deperro Plastic Surgery, LLC PastSince Sep 17, 2023 Accepting new patients

Locations

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

625 James Trimble Blvd
Paintsville, KY 41240

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

5151 Reed Rd
Ste 225C
Columbus, OH 43220
Phone (614) 457-2306

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

Dept L3652
Columbus, OH 43260

7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

4606 Sawmill Rd
Upper Arlington, OH 43220
Phone (614) 488-7607

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1205583705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 REED RD STE 225C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202553",
            "telephone_number": "614-884-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143908",
            "telephone_number": "614-566-4919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430168518",
            "country_code": "US",
            "telephone_number": "614-544-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Piedmont Ave",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242012609",
            "country_code": "US",
            "telephone_number": "919-948-8861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "XIAOSONG",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "0020680",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NC",
            "license": "301135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.