Active NPI
Siran Liu, AUD
- Audiologist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 81010
- Practice address
- 4647 Medical Dr
San Antonio, TX 78229 - Phone
- (210) 358-4583
- Fax
- (210) 358-2654
- NPI assigned
- Apr 24, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 81010 | TX | Primary |
Addresses
Primary practice location
4647 Medical Dr
San Antonio, TX 78229
Mailing address
500 Old Newport Blvd
Suite 101
Newport Beach, CA 92663-4234
Phone (949) 642-7935
Other practice location 1
500 Old Newport Blvd
Suite 101
Newport Beach, CA 92663-4234
Phone (949) 642-7935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4647 Medical Dr
San Antonio, TX 78229-4403
Phone (210) 358-8820
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.65 of 100
- Quality
- 83.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medicine Associates | Current | Accepting new patients | |
| Pain Management Specialists | Past | Accepting new patients |
Locations
4647 Medical Dr
San Antonio, TX 78229
Phone (210) 358-2710
903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441
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 and National Provider Directory roles.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1245313329
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1922617125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1285169508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 OLD NEWPORT BLVD",
"address_2": "SUITE 101",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634234",
"telephone_number": "949-642-7935",
"fax_number": "949-642-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4647 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-358-4583",
"fax_number": "210-358-2654"
}
],
"practiceLocations": [
{
"address_1": "500 Old Newport Blvd",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926634234",
"country_code": "US",
"telephone_number": "949-642-7935",
"fax_number": "949-642-2950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "SIRAN",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-24",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "81010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.