Individual provider Active NPI

David D Liu, MD

  • Internal Medicine Physician
  • Mohawk, NY
National Provider Identifier
1225050404
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218512 Issued in NY
Practice address
51 E Main St
Mohawk, NY 13407-1140
Phone
(315) 866-0763
Fax
(315) 866-3414
NPI assigned
Jul 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 218512 NY Primary

Addresses

Primary practice location

51 E Main St
Mohawk, NY 13407-1140

Mailing address

175 W Main St
Little Falls, NY 13365-1300
Phone (315) 823-0351

Other identifiers 1

IdentifierTypeStateIssuer
02304850MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041029000810 NY Practitioner - Internal Medicine 8729040993 Reassigns benefits to 5 organizations
Practice locations: Syracuse, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Family Health Center, IncorporatedGroup PAC ID 5092007104, 6 clinicians

Practice addresses (Care Compare)

1001 Noyes St
Utica, NY 13502-4400
Phone (315) 219-6354

205 W Dominick St
Suite a
Rome, NY 13440-5811
Phone (315) 219-6354

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218512NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Upstate Family Health Center Incorporated CurrentSince Nov 1, 2016 Accepting new patients
Upstate Cerebral Palsy, Inc. CurrentSince Oct 14, 2008 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
New York General Medical Services PC CurrentSince Feb 16, 2019 Accepting new patients
Upstate Cerebral Palsy, Inc CurrentSince Oct 14, 2008 Accepting new patients
Upstate Family Health Center Incorporated Past Accepting new patients
Mobile Physician Services PLLC PastSince Aug 2, 2026 Accepting new patients
Foltscare LLC Past Accepting new patients
Palffy Group LLC Past Accepting new patients
Orrnc Operating LLC Past Accepting new patients
St. Johnsville Rehabilitation and Nursing Center Inc Past Accepting new patients
Vdrnc LLC Past Accepting new patients

Locations

3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700

4241 201st St
Flushing, NY 11361
Phone (516) 599-5688

2090 Albany Post Rd
Montrose, NY 10548

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

205 W Dominick St
Ste A
Rome, NY 13440
Phone (315) 219-6354

101 Elm St
Sayville, NY 11782
Phone (631) 244-2400

5075 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 435-5511

1002 Oswego St
Utica, NY 13502
Phone (315) 798-8868

125 Business Park Dr
Utica, NY 13502
Phone (315) 724-6907

1601 Armory Dr
Utica, NY 13501
Phone (315) 798-4006

Interoperability endpoints

  • Direct secure messaging: david.liu@ufhcinc.eclinicaldirectplus.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 12

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225050404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W MAIN ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651300",
            "telephone_number": "315-823-0351",
            "fax_number": "315-823-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E MAIN ST",
            "city": "MOHAWK",
            "state": "NY",
            "postal_code": "134071140",
            "telephone_number": "315-866-0763",
            "fax_number": "315-866-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "DAVID",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02304850",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mohawk, NY

Sources for this page

Verify at the official NPI Registry.