Individual provider Active NPI

Ivan E Liang, M.D.

  • Emergency Medicine Physician
  • Brighton, MA
National Provider Identifier
1407814908
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
217627 Issued in MA
Practice address
736 Cambridge Street
Caritas St. Elizabeth's Medical Center
Brighton, MA 02135
Phone
(617) 789-2666
NPI assigned
May 3, 2006
Last updated
Nov 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 217627 MA Primary

Addresses

Primary practice location

736 Cambridge Street
Caritas St. Elizabeth's Medical Center
Brighton, MA 02135

Mailing address

58 Rockview St
Apt 1
Jamaica Plain, MA 02130-2112
Phone (617) 789-2666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090908000453 CA Practitioner - Emergency MedicinePractitioner - Medical Toxicology 7113969916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Northwestern University Feinberg Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chico Emergency Physicians Medical Group IncGroup PAC ID 0345277349, 25 clinicians

Practice addresses (Care Compare)

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-7330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.23 of 100Reported as group
Quality
82.54
Promoting interoperability
100
Improvement activities
40
Cost
86.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217627MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chico Emergency Physicians Medical Group, Inc Emergency Medicine CurrentSince Aug 2, 2009 Accepting new patients
Enloe Primary Physicians Medical Group a Medical Corporation Past Accepting new patients
Umass Memorial Medical Group Inc Emergency Medicine Past Accepting new patients
Caritas Medical Group, Inc Emergency Medicine Past Accepting new patients

Locations

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6325

Interoperability endpoints

  • Direct secure messaging: iliang15322@enloedirect.org

Organizations & group practices 4

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1407814908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 ROCKVIEW ST",
            "address_2": "APT 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302112",
            "telephone_number": "617-789-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE STREET",
            "address_2": "CARITAS ST. ELIZABETH'S MEDICAL CENTER",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-789-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANG",
        "first_name": "IVAN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "217627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.