NPIMap

Individual provider Active NPI

Stanley Shi-Dan Liu, M.D.

  • Cardiovascular Disease Physician
  • Baltimore, MD
National Provider Identifier
1255568994
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D78616 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(410) 328-7877
Fax
(410) 328-3292
NPI assigned
Jun 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X D78616 MD Primary

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 328-7877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150630000179 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6406168723 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Mayo Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Western Maryland Health Services LLCGroup PAC ID 7113396011, 162 clinicians

Practice addresses (Care Compare)

12502 Willowbrook Rd
Suite 420
Cumberland, MD 21502-6567
Phone (240) 964-8740

Hospital & facility affiliations

  • Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC Cardiovascular Disease CurrentSince Sep 1, 2023 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Jul 1, 2015 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Sep 1, 2023 Accepting new patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
University of Maryland Physicians P.a. Cardiovascular Disease CurrentSince Jul 1, 2015 Accepting new patients
University of Maryland Physicians PA Cardiovascular Disease Current Accepting new patients
Sage Health Maryland LLC CurrentSince Jan 1, 2025 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

12502 Willowbrook Rd
Ste 420
Cumberland, MD 21502
Phone (240) 964-8740

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

3541 Washington Blvd
Ste 110
Halethorpe, MD 21227
Phone (443) 543-9914

6660 Security Blvd
Ste 1
Woodlawn, MD 21207
Phone (443) 380-0552

Interoperability endpoints

  • Direct secure messaging: stanley.liu.1@27478.direct.athenahealth.com
  • Direct secure messaging: sliu154328@upmc.direct-ci.com

Organizations & group practices 9

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 4

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": "1245542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1255568994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64442",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644442",
            "telephone_number": "410-328-7877",
            "fax_number": "410-328-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-7877",
            "fax_number": "410-328-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "STANLEY",
        "middle_name": "SHI-DAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-21",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D78616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.