Individual provider Active NPI

Xiaoguang Liu, M.D.

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
National Provider Identifier
1386851251
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
License
233485 Issued in NY
Practice address
427 Fort Washington Ave Apt 1a
New York, NY 10033-3522
Phone
(718) 530-5267
Fax
(646) 669-8192
NPI assigned
May 17, 2007
Last updated
May 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 233485 NY
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X 25MA08241100 NJ
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X 233485 NY Primary

Addresses

Primary practice location

427 Fort Washington Ave Apt 1a
New York, NY 10033-3522

Mailing address

730 Fort Washington Ave Apt 3N
New York, NY 10040-3745
Phone (718) 530-5267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080225000226 NY Practitioner - Physical Medicine and Rehabilitation 0244331064 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

395 Fort Washington Ave
Suite 9
New York, NY 10033-6741
Phone (212) 928-1400

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233485NYMDPhysical Medicine & Rehabilitation Physician
25MA08241100NJMDHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Harlem Medical Associates PC CurrentSince Mar 16, 2011 Accepting new patients
Medicine and Rehabilitation Service PC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2012 Accepting new patients
Central Jersey Rehabilitation Medicine, LLC Physical Medicine & Rehabilitation PastSince Feb 7, 2021 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

395 Fort Washington Ave
Apt 9
New York, NY 10033
Phone (212) 928-1400

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: xliu678626@nychhc.direct-ci.com

Organizations & group practices 5

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1386851251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 FORT WASHINGTON AVE APT 3N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403745",
            "telephone_number": "718-530-5267",
            "fax_number": "646-669-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 FORT WASHINGTON AVE APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333522",
            "telephone_number": "718-530-5267",
            "fax_number": "646-669-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "XIAOGUANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "233485",
            "primary": false
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "25MA08241100",
            "primary": false
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "233485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.