Individual provider Active NPI

Michael Liu, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1376735662
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
245544 Issued in NY
Practice address
222 E 19TH St Apt 4a
New York, NY 10003-2609
Phone
(212) 677-2758
Fax
(212) 677-2758
NPI assigned
Aug 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 245544 NY Primary

Addresses

Primary practice location

222 E 19TH St Apt 4a
New York, NY 10003-2609

Mailing address

222 E 19TH St Apt 4a
New York, NY 10003-2609
Phone (212) 677-2758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20100714000209 CT Practitioner - Internal Medicine 8022173293 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians
MJM Medicine PCGroup PAC ID 2961916739, 2 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695

42 Sherwood PL
Greenwich, CT 06830-5677
Phone (203) 869-0502

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Hospital CurrentSince Jan 1, 2016 Accepting new patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince May 4, 2010 Accepting new patients
Greenwich Hospital CurrentSince Jan 1, 2016 Accepting new patients
MJM Medicine PC Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Northeast Medical Group, Inc CurrentSince May 4, 2010 Accepting new patients

Locations

42 Sherwood Pl
Greenwich, CT 06830
Phone (203) 661-2440

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

1165 King St
Greenwich, CT 06831
Phone (203) 531-1335

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: mliu6728@direct.ynhh.org
  • Direct secure messaging: michael.liu.1@32779.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1376735662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E 19TH ST APT 4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032609",
            "telephone_number": "212-677-2758",
            "fax_number": "212-677-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E 19TH ST APT 4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032609",
            "telephone_number": "212-677-2758",
            "fax_number": "212-677-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "245544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.