Individual provider Active NPI

Peter S. Liao, M.D.

  • Surgery Physician
  • Columbia, MD
National Provider Identifier
1306809033
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0057934 Issued in MD
Practice address
8860 Columbia 100 Pkwy Ste 400
Columbia, MD 21045-2384
Phone
(410) 964-8346
Fax
(410) 964-8350
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0057934 MD Primary

Addresses

Primary practice location

8860 Columbia 100 Pkwy Ste 400
Columbia, MD 21045-2384

Mailing address

8860 Columbia 100 Pkwy Ste 400
Columbia, MD 21045-2384
Phone (410) 964-8346

Other practice location 1

6535 N Charles St Ste 125
Baltimore, MD 21204-5822
Phone (443) 849-3779

Other identifiers 3

IdentifierTypeStateIssuer
S123-0050OtherMDCAREFIRST REGIONAL
KJ22/631012-02OtherMDCAREFIRST MARYLAND
699431800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, AK, AL, NM5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20040415000825 MD Practitioner - General Surgery 7315932878 Reassigns benefits to 1 organization
I20200804001503 DC Practitioner - Vascular Surgery 7315932878 Reassigns benefits to 1 organization
I20220929003566 AK Practitioner - General Surgery 7315932878
I20230424000459 AL Practitioner - General Surgery 7315932878 Reassigns benefits to 1 organization
I20231228002229 NM Practitioner - General Surgery 7315932878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Vein Restoration MD LLCGroup PAC ID 8729022736, shared by 27 NPIs, 32 clinicians

Practice addresses (Care Compare)

141 Thomas Johnson Dr
Suite 190
Frederick, MD 21702-4509
Phone (855) 830-8346

1600 Crain Hwy S
Suite 408
Glen Burnie, MD 21061-6437
Phone (855) 830-8346

831 University Blvd E
Suite 25
Silver Spring, MD 20903-2920
Phone (855) 830-8346

9110 Philadelphia Rd
Suite 306
Rosedale, MD 21237-4327
Phone (855) 830-8346

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0057934MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration MD LLC CurrentSince Mar 23, 2020 Accepting new patients
Center for Vein Restoration Al LLC CurrentSince Apr 10, 2023 Accepting new patients
Center for Vein Restoration Al LLC CurrentSince Apr 10, 2023 Accepting new patients
Center for Vein Restoration NM LLC Surgery CurrentSince Dec 11, 2023 Accepting new patients
Center for Vein Restoration MD LLC Current Accepting new patients
Center for Vein Restoration MD LLC CurrentSince Mar 23, 2020 Accepting new patients
Union Memorial Hospital Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
House Call of America PastSince Sep 20, 2017 Accepting new patients
Center for Vein Restoration NM LLC PastSince Nov 24, 2025 Accepting new patients

Locations

3280 Ross Clark Cir
Dothan, AL 36303
Phone (334) 678-9494

2290 Valleydale Rd
Ste 204
Hoover, AL 35244
Phone (205) 214-7546

2020 Berryhill Rd
Montgomery, AL 36117

107 24th St
Opelika, AL 36801
Phone (334) 826-5577

7101 Happy Hollow Rd
Ste 101
Trussville, AL 35173

2002 Medical Pkwy
Ste 350
Annapolis, MD 21401
Phone (301) 441-2269

8860 Columbia 100 Pkwy
Ste 400
Columbia, MD 21045
Phone (443) 393-3145

401 Purdy St
Ste 204
Easton, MD 21601

141 Thomas Johnson Dr
Ste 190
Frederick, MD 21702
Phone (240) 629-3942

1600 Crain Hwy S
Ste 408
Glen Burnie, MD 21061
Phone (410) 424-2237

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

1205 York Rd
Ste 34
Lutherville Timonium, MD 21093
Phone (410) 494-7060

9110 Philadelphia Rd
Ste 306
Rosedale, MD 21237
Phone (410) 682-5040

831 University Blvd E
Ste 25
Silver Spring, MD 20903
Phone (301) 439-1200

801 Encino Pl NE
Ste C12
Albuquerque, NM 87102
Phone (505) 247-4849

2220 Grande Blvd SE
Ste 1B
Rio Rancho, NM 87124

1790 Grande Blvd SE
Rio Rancho, NM 87124
Phone (505) 272-8735

Interoperability endpoints

  • Direct secure messaging: peter.liaomd.p3@direct.cvr.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1306809033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PKWY STE 400",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452384",
            "telephone_number": "410-964-8346",
            "fax_number": "410-964-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PKWY STE 400",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452384",
            "telephone_number": "410-964-8346",
            "fax_number": "410-964-8350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6535 N Charles St Ste 125",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212045822",
            "country_code": "US",
            "telephone_number": "443-849-3779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIAO",
        "first_name": "PETER",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0057934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST REGIONAL",
            "identifier": "S123-0050",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND",
            "identifier": "KJ22/631012-02",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699431800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.