Shixiong Liao, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

24005 Issued in SC

Practice address

1709 Dunkirk Dr
Charlotte, NC 28203-4303

Phone

(843) 737-7468

NPI assigned

Apr 12, 2006

Last updated

Apr 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in SC, NC, IL3 enrollments

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 3

Specialty

Pathology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chicago Gastroenterology, LLCGroup PAC ID 6204077100, 3 clinicians

Advanced Gi LLCGroup PAC ID 7416205414, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

84.95 of 100Reported as group

Quality

67.47

Promoting interoperability

96

Improvement activities

40

Cost

85.7

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0900850

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.

• Advanced Gi, LLC

  • Gastroenterology Physician
  • Chicago, IL
  • NPI 1942795422
  Medicare reassignment Care Compare group NPD
• Chicago Gastroenterology, LLC

  • Gastroenterology Physician
  • Chicago, IL
  • NPI 1366792426
  Medicare reassignment Care Compare group NPD
• Carolina Digestive Health Associates, PA

  • Gastroenterology Physician
  • Charlotte, NC
  • NPI 1124052444
  Medicare reassignment NPD
• Pathologists Diagnostic Laboratory PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Winston Salem, NC
  • NPI 1003883877
  Medicare reassignment NPD
• Carolina Digestive Disease PA

  • Gastroenterology Physician
  • Columbia, SC
  • NPI 1285929794
  Medicare reassignment NPD
• Pathologists Diagnostic Laboratory PA

  • Clinical Medical Laboratory
  • Winston Salem, NC
  • NPI 1437424975
  NPD
• Carolina Digestive Health Associates, PA

  dba Carolina Digestive Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Charlotte, NC
  • NPI 1063584415
  NPD (past)
• Orangeburg Pathology Associates PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Orangeburg, SC
  • NPI 1164486700
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1285698829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 DUNKIRK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 DUNKIRK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034303",
            "telephone_number": "843-737-7468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 W Division St Ste 235",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606222989",
            "country_code": "US",
            "telephone_number": "773-342-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIAO",
        "first_name": "SHIXIONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036.172795",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "24005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "2012-02070",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "70136",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS MEDICAL LICENSE #",
            "identifier": "036.172795",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL LICENSE#",
            "identifier": "24005",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T80141",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chao Li, MD
• Meng Li, MD
• Shuxin Li, MD
• Xiaohua Li, MD
• Mark J. Liang, M.D.
• Darrielle Libby
• Liberty Healthcare Group LLC (Liberty Nursing and Rehab Center of Mecklenburg Co)
• Liberty Healthcare Group, LLC (Liberty Home Care II, LLC)
• Liberty Healthcare Group, LLC (Liberty Commons Nsg & Rehab Ctr of Ballantyne)
• Liberty Home Care II, LLC (Liberty Home Care and Hospice)

• Anatomic Pathology & Clinical Pathology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Anatomic Pathology & Clinical Pathology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.
• 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.

Verify at the official NPI Registry.