Active NPI
Kenneth K Liao, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- S6233
- Practice address
- 1101 Bates Ave
Houston, TX 77030-2607 - Phone
- (713) 798-1300
- NPI assigned
- Sep 15, 2006
- Last updated
- May 3, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 42328 | MN | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 42328 | MN | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | S6233 | TX | Primary |
Addresses
Primary practice location
1101 Bates Ave
Houston, TX 77030-2607
Mailing address
7200 Cambridge St
Houston, TX 77030-4202
Other practice location 1
6770 Bertner Ave Ste C-355
Houston, TX 77030-2604
Phone (832) 355-3000
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18-00070 | Other | MN | MEDICA CHOICE |
| 0554584 | Medicaid | IA | |
| 090474100 | Medicaid | MN | |
| 18-00014 | Other | MN | MEDICA PRIMARY |
| 1031690 | Other | MN | PREFERRED ONE |
| 224A2LI | Other | MN | BLUE CROSS BLUE SHIELD |
| HP40342 | Other | MN | HEALTH PARTNERS |
| 142142 | Other | MN | UCARE |
| 34260200 | Medicaid | WI | |
| 506360 | Other | MN | FAIRVIEW |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kliao30349@bcm.ghhdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7200 Cambridge St
Suite 1
Houston, TX 77030-4202
Phone (713) 798-2500
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 43 |
| Pacemaker insertion or repair | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42328 | MN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| S6233 | TX | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Surgery | Current | Accepting new patients |
Locations
1101 Bates Ave
Houston, TX 77030
Phone (713) 798-1300
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
7200 Cambridge St
Houston, TX 77030
Phone (713) 798-2273
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
Organizations & group practices 2
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 BCM Physicians
- Ph.D. Medical Genetics
- Houston, TX
- NPI 1881026664
Surgery
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1184622847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1417053869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 CAMBRIDGE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 BATES AVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302607",
"telephone_number": "713-798-1300"
}
],
"practiceLocations": [
{
"address_1": "6770 Bertner Ave Ste C-355",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302604",
"country_code": "US",
"telephone_number": "832-355-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIAO",
"first_name": "KENNETH",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "42328",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MN",
"license": "42328",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "S6233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE",
"identifier": "18-00070",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0554584",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090474100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "18-00014",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1031690",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "224A2LI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP40342",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "142142",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34260200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAIRVIEW",
"identifier": "506360",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kliao30349@bcm.ghhdirect.net",
"affiliation": "N",
"address_1": "1101 Bates Ave",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770302607",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.