Individual provider Active NPI

Jeffrey E Liang, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Fort Worth, TX
National Provider Identifier
1437155751
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
L4530 Issued in TX
Practice address
6001 Harris Pkwy
Fort Worth, TX 76132-4103
Phone
(817) 370-6350
Fax
(817) 370-6401
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L4530 TX
Sports Medicine (Family Medicine) Physician 207QS0010X L4530 TX Primary

Addresses

Primary practice location

6001 Harris Pkwy
Fort Worth, TX 76132-4103

Mailing address

6001 Harris Pkwy
Fort Worth, TX 76132-4103
Phone (817) 370-6350

Other identifiers 11

IdentifierTypeStateIssuer
7783411OtherTXAETNA PPO
161325902MedicaidTX
250013603OtherTXRR MEDICARE NUMBER
8H9350OtherTXBC/BS
198468OtherTXAMERIGROUP
161325904MedicaidTX
7783411OtherTXAETNA HMO
161325903MedicaidTX
161325901MedicaidTX
L4530OtherTXSTATE LICENSE
P01084630OtherTXRAILROAD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102001409 TX Practitioner - Family PracticePractitioner - Sports Medicine 7719171891 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Washington University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6001 Harris Pkwy
Fort Worth, TX 76132-4103
Phone (817) 370-6350

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Core Medical Associates PLLC CurrentSince Jan 2, 2024 Accepting new patients
Oakbend Medical Group Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Next Level MV LLC CurrentSince Dec 1, 2021 Accepting new patients
Ut Physicians Family Medicine CurrentSince May 1, 2014 Accepting new patients
Oakbend Medical Group CurrentSince Jan 1, 2020 Accepting new patients
Nluc PLLC CurrentSince Dec 1, 2021 Accepting new patients
Nluc PLLC CurrentSince Dec 1, 2021 Accepting new patients
Next Level MV LLC Current Accepting new patients
BHS Physicians Network, Inc Family Medicine CurrentSince Dec 6, 2018 Accepting new patients
BHS Physicians Network, Inc CurrentSince Dec 6, 2018 Accepting new patients
Nluc PLLC Current Accepting new patients
Ut Physicians CurrentSince May 1, 2014 Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

6001 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 294-1131

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

21222 Kingsland Blvd
Katy, TX 77450
Phone (281) 344-1715

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

1517 Thompson Rd
Richmond, TX 77469
Phone (281) 344-1715

22001 Southwest Fwy
Ste 300
Richmond, TX 77469
Phone (281) 344-6744

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

15035 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 344-1715

4911 Sandhill Dr
Sugar Land, TX 77479
Phone (281) 238-7870

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBHDDD/Endpoint/JBHDDD

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1437155751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 HARRIS PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324103",
            "telephone_number": "817-370-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 HARRIS PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324103",
            "telephone_number": "817-370-6350",
            "fax_number": "817-370-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANG",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4530",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "L4530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7783411",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161325902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE NUMBER",
            "identifier": "250013603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8H9350",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "198468",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161325904",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "7783411",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161325903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161325901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "L4530",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01084630",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.