Active NPI
Shu-Hao Liu, D.O.
- Pulmonary Disease Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- T3128
- Practice address
- 120 Hillcrest Medical Blvd Ste 3053
Waco, TX 76712-8948 - Phone
- (254) 202-4000
- Fax
- (254) 202-4019
- NPI assigned
- Mar 28, 2013
- Last updated
- May 11, 2022
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | 34.012126 | OH | |
| Internal Medicine Physician | 207R00000X | 036148786 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 036148786 | IL | |
| Pulmonary Disease Physician | 207RP1001X | T3128 | TX | Primary |
Addresses
Primary practice location
120 Hillcrest Medical Blvd Ste 3053
Waco, TX 76712-8948
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111
Other practice location 1
10604 Southwest Hwy Ste 107
Chicago Ridge, IL 60415-2717
Phone (708) 422-0636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0176829 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sliu1035983@direct.sw.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hillcrest Med Blvde
Waco, TX 76712-8897
Phone (254) 202-5800
120 Hillcrest Medical Blvd
Suite 200
Waco, TX 76712-8950
Phone (254) 297-0400
140 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-8330
150 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-4000
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036148786 | IL | MD | Internal Medicine Physician |
| 34.012126 | OH | MD | Internal Medicine Physician |
| T3128 | TX | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Internal Medicine | Current | Accepting new patients |
| Midwest Pulmonary Critical Care & Sleep Consultants LLC | Internal Medicine | Current | Accepting new patients |
| Scott & White Clinic | Internal Medicine | Current | Accepting new patients |
| Scott & White Clinic | Internal Medicine | Current | Accepting new patients |
| Scott & White Hospital - Taylor | Past | Accepting new patients | |
| Pulmonary Consultants, SC | Internal Medicine | Past | Accepting new patients |
| Elio Ventresca, MD, Inc | Internal Medicine | Past | Accepting new patients |
Locations
29777 Network Pl
Chicago, IL 60673
10604 Southwest Hwy
Ste 107
Chicago Ridge, IL 60415
Phone (708) 371-8006
12820 S Ridgeland Ave
Ste B
Palos Heights, IL 60463
Phone (708) 371-8006
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100
Interoperability endpoints
- sliu1035983@direct.sw.org
Organizations & group practices 7
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.
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
-
- Pulmonary Disease Physician
- Palos Heights, IL
- NPI 1467951095
Internal Medicine
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1649820796
-
- Internal Medicine Physician
- College Station, TX
- NPI 1922061993
-
dba Baylor Scott & White Medical Center - Taylor
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1841326626
-
- Pulmonary Disease Physician
- Chicago Ridge, IL
- NPI 1699834754
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center Hillcrest
- General Acute Care Hospital
- Waco, TX
- NPI 1891882833
-
dba Baylor Scott & White Medical Center - Temple
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
-
dba Kings's Daughters Hospital- Scott & White Healthcare
- General Acute Care Hospital
- Temple, TX
- NPI 1578502613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1366785206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HILLCREST MEDICAL BLVD STE 3053",
"city": "WACO",
"state": "TX",
"postal_code": "767128948",
"telephone_number": "254-202-4000",
"fax_number": "254-202-4019"
}
],
"practiceLocations": [
{
"address_1": "10604 Southwest Hwy Ste 107",
"address_purpose": "LOCATION",
"city": "Chicago Ridge",
"state": "IL",
"postal_code": "604152717",
"country_code": "US",
"telephone_number": "708-422-0636",
"fax_number": "708-371-9330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "SHU-HAO",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-28",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34.012126",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036148786",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036148786",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "T3128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0176829",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sliu1035983@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "120 Hillcrest Medical Blvd Ste 3053",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767128948",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waco, TX
- Steven L Little, DDS
- Jessica Littlefield, M.S., CCC-SLP
- Allyson Littrell
- J. Scott Littrell, DPM
- John F Liu, M.D.
- Live Oak Acupupuncture & Herbal Medicine, PLLC (Live Oak Acupupuncture & Wellness Center)
- William Scott Livesay, DR MD
- Melissa L Lobianco, MS RD LD
- Amy Lynn Lobrano, M.D.
- Abigail Madeline Locke
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.