Active NPI
Leo Xingwen Liu, M.D.
- Infectious Disease Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 56228
- Practice address
- 725 Albany Street
Shapiro 9. Suite B
Boston, MA 02118-2526 - Phone
- (617) 414-4290
- Fax
- (617) 414-4285
- NPI assigned
- Sep 22, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 56228 | MA | |
| Infectious Disease Physician | 207RI0200X | 56228 | MA | Primary |
Addresses
Primary practice location
725 Albany Street
Shapiro 9. Suite B
Boston, MA 02118-2526
Mailing address
850 Harrison Avenue
Yacc-BNC7
Boston, MA 02118-4001
Phone (617) 414-5405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110047636A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110715000214 | MA | Practitioner - Infectious Disease | 8325216427 | Practice locations: Methuen, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Stanford University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
411 Merrimack St
Suite 201
Methuen, MA 01844-5821
Phone (781) 724-9041
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56228 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leo Liu, MD | Infectious Disease | Current | Accepting new patients |
Locations
1 General St
Lawrence, MA 01841
Phone (978) 946-8103
411 Merrimack St
Ste 201
Methuen, MA 01844
Phone (978) 691-5160
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 and National Provider Directory roles.
-
- Infectious Disease Physician
- Lawrence, MA
- NPI 1548633118
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Merrimack Health Lawrence Hospital
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
dba Merrimack Health Methuen Hospital
- General Acute Care Hospital
- Methuen, MA
- NPI 1265267991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358121600000",
"number": "1376851436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 HARRISON AVENUE",
"address_2": "YACC-BNC7",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184001",
"telephone_number": "617-414-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 ALBANY STREET",
"address_2": "SHAPIRO 9. SUITE B",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182526",
"telephone_number": "617-414-4290",
"fax_number": "617-414-4285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "LEO",
"middle_name": "XINGWEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-22",
"last_updated": "2013-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "56228",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MA",
"license": "56228",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110047636A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.