Individual provider Active NPI

Enchun Mike Liu, MD

  • Retina Specialist (Ophthalmology) Physician
  • San Antonio, TX
National Provider Identifier
1285878983
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
Q3399 Issued in TX
Practice address
9910 Huebner Rd
Ste 100
San Antonio, TX 78240-1342
Phone
(210) 615-7600
Fax
(210) 615-8505
NPI assigned
Apr 24, 2009
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2013012522 MO
Retina Specialist (Ophthalmology) Physician 207WX0107X Q3399 TX Primary

Addresses

Primary practice location

9910 Huebner Rd
Ste 100
San Antonio, TX 78240-1342

Mailing address

9910 Huebner Rd
Ste 100
San Antonio, TX 78240-1342
Phone (210) 615-7600

Other practice location 1

315 N San Saba
Suite 924
San Antonio, TX 78207-3154
Phone (210) 615-7600

Other practice location 2

6801 McPherson Rd
Ste 338
Laredo, TX 78041-6402
Phone (956) 722-5200

Other identifiers 1

IdentifierTypeStateIssuer
347266401MedicaidTX

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
I20150616002523 TX Practitioner - Ophthalmology 4981845658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical Branch at Galveston, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates of South Texas PAGroup PAC ID 9436153053, 5 clinicians

Practice addresses (Care Compare)

9910 Huebner Rd
Suite 100
San Antonio, TX 78240-1375
Phone (210) 615-7600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013012522MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates of South Texas, P.a. CurrentSince Jul 1, 2015 Accepting new patients
The Retina Institute LLC Ophthalmology Past Accepting new patients
Retina Consultants, LLC Retina Specialist PastSince May 1, 2011 Accepting new patients

Locations

6801 McPherson Rd
Ste 338
Laredo, TX 78041
Phone (956) 722-5200

315 N San Saba
Ste 924
San Antonio, TX 78207
Phone (210) 615-7600

7940 Floyd Curl Dr
Ste 120
San Antonio, TX 78229
Phone (210) 615-7600

9910 Huebner Rd
Ste 100
San Antonio, TX 78240
Phone (210) 615-7600

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 3

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": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1285878983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 HUEBNER RD",
            "address_2": "STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401342",
            "telephone_number": "210-615-7600",
            "fax_number": "210-615-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 HUEBNER RD",
            "address_2": "STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401342",
            "telephone_number": "210-615-7600",
            "fax_number": "210-615-8505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 N San Saba",
            "address_2": "Suite 924",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782073154",
            "country_code": "US",
            "telephone_number": "210-615-7600",
            "fax_number": "210-615-8505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6801 McPherson Rd",
            "address_2": "Ste 338",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780416402",
            "country_code": "US",
            "telephone_number": "956-722-5200",
            "fax_number": "956-722-5250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "ENCHUN",
        "middle_name": "MIKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-24",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2013012522",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "Q3399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347266401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.