Individual provider Active NPI

Phillip Liaw, MD

  • Internal Medicine Physician
  • Feasterville Trevose, PA
National Provider Identifier
1245248442
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD074088L Issued in PA
Practice address
23 Bustleton Pike
Suite 200
Feasterville Trevose, PA 19053-6446
Phone
(215) 464-0770
Fax
(267) 579-0720
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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 MD074088L PA Primary

Addresses

Primary practice location

23 Bustleton Pike
Suite 200
Feasterville Trevose, PA 19053-6446

Mailing address

PO Box 8500 #4081
Philadelphia, PA 19178-4081
Phone (215) 856-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110928000568 PA Practitioner - Internal Medicine 6002087707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians

Practice addresses (Care Compare)

23 Bustleton Pike
Feasterville Trevose, PA 19053-6446

8580 Verree Rd
Philadelphia, PA 19111-1370
Phone (215) 436-1420

Hospital & facility affiliations

  • Holy Redeemer Home Care-PA Home health agency, Philadelphia, PA, CCN 397104
  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097
  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
HR Physician Services Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
HR Physician Services Internal Medicine Current Accepting new patients

Locations

23 Bustleton Pike
Feasterville Trevose, PA 19053
Phone (215) 322-5938

23 Bustleton Pike
Ste 200
Feasterville Trevose, PA 19053
Phone (215) 464-0770

1648 Huntingdon Pike
Fl 1
Meadowbrook, PA 19046
Phone (215) 938-2040

10160 Bustleton Ave
Ste A
Philadelphia, PA 19116
Phone (215) 364-0777

Interoperability endpoints

  • Direct secure messaging: phillip.liaw.1@17399.direct.athenahealth.com

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.

Hospital & facility affiliations 6

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1245248442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500 #4081",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191784081",
            "telephone_number": "215-856-1010",
            "fax_number": "215-698-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BUSTLETON PIKE",
            "address_2": "SUITE 200",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536446",
            "telephone_number": "215-464-0770",
            "fax_number": "267-579-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAW",
        "first_name": "PHILLIP",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD074088L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

Verify at the official NPI Registry.