Individual provider Active NPI

Diane Liu, PA-C

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1366012478
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14676 Issued in TX
Practice address
1820 Preston Park Blvd Ste 2400
Plano, TX 75093-3716
Phone
(972) 867-7862
NPI assigned
Jun 30, 2021
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14676 TX Primary

Addresses

Primary practice location

1820 Preston Park Blvd Ste 2400
Plano, TX 75093-3716

Mailing address

1820 Preston Park Blvd Ste 2400
Plano, TX 75093-3716

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720003727 TX Practitioner - Physician Assistant 0143623793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Radiology Associates LLPGroup PAC ID 3779578000, 154 clinicians

Practice addresses (Care Compare)

2831 E President George Bush Hwy
Richardson, TX 75082-3561
Phone (469) 204-1000

3535 S I35 Frontage Rd
Denton Regional Medical Center
Denton, TX 76210-3535
Phone (940) 384-3535

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.4 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14676TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Radiology Associates LLP CurrentSince Aug 1, 2024 Accepting new patients

Locations

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

1820 Preston Park Blvd
Ste 2400
Plano, TX 75093

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

Organizations & group practices 1

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 1

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1366012478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD STE 2400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD STE 2400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933716",
            "telephone_number": "972-867-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "DIANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.