Active NPI
Qi Liu, MD
- Family Medicine Physician
- Anna, IL
National Provider Identifier
1255383535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036114325
- Practice address
- 513 N Main St
Anna, IL 62906-1668 - Phone
- (618) 833-4471
- Fax
- (618) 833-6267
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036114325 | IL | Primary |
Addresses
Primary practice location
513 N Main St
Anna, IL 62906-1668
Mailing address
513 N Main St
Anna, IL 62906-1668
Phone (618) 833-4471
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117166 | Other | IL | HEALTH ALLIANCE |
| 036114325 | Medicaid | IL | |
| I53062 | Other | BLUE CROSS BLUE SHIELD | |
| P00444889 | Other | IL | RAILROAD MEDICAARE |
| 753025 | Other | IL | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210202000955 | TX | Order and Referring Only - Family Practice | 0547272395 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1255383535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 N MAIN ST",
"city": "ANNA",
"state": "IL",
"postal_code": "629061668",
"telephone_number": "618-833-4471",
"fax_number": "618-833-6267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 N MAIN ST",
"city": "ANNA",
"state": "IL",
"postal_code": "629061668",
"telephone_number": "618-833-4471",
"fax_number": "618-833-6267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "QI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036114325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "117166",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036114325",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "I53062",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICAARE",
"identifier": "P00444889",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "753025",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anna, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.