Individual provider Active NPI

Hongbo Liu, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • San Antonio, TX
National Provider Identifier
1275791303
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
P5102 Issued in TX
Practice address
325 E Sonterra Blvd Ste 110
San Antonio, TX 78258-4055
Phone
(210) 402-1222
Fax
(210) 402-1224
NPI assigned
May 27, 2008
Last updated
Jul 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X P5102 TX
Orthopaedic Surgery of the Spine Physician 207XS0117X P5102 TX Primary

Addresses

Primary practice location

325 E Sonterra Blvd Ste 110
San Antonio, TX 78258-4055

Mailing address

325 E Sonterra Blvd Ste 110
San Antonio, TX 78258-4055
Phone (210) 402-1222

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131028001072 TX Practitioner - Orthopedic Surgery 9335304328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

325 E Sonterra Blvd
San Antonio, TX 78258-4055
Phone (210) 402-1222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion55
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P5102TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hongbo Liu MD PA Orthopaedic Surgery CurrentSince May 16, 2013 Accepting new patients
Parkway Regional Medical Clinic, Inc Past Accepting new patients

Locations

19016 Stone Oak Pkwy
Ste 220
San Antonio, TX 78258
Phone (210) 491-4125

325 E Sonterra Blvd
Ste 110
San Antonio, TX 78258
Phone (210) 402-1222

Interoperability endpoints

  • Direct secure messaging: hongbo.liu.1@11425.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11425/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 2

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1275791303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E SONTERRA BLVD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584055",
            "telephone_number": "210-402-1222",
            "fax_number": "210-402-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E SONTERRA BLVD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584055",
            "telephone_number": "210-402-1222",
            "fax_number": "210-402-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "HONGBO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P5102",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "P5102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.