Individual provider Active NPI

Muhammad Waqar Liaqat, M.D.

  • Nephrology Physician
  • Providence, RI
National Provider Identifier
1477087070
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
LP04908 Issued in RI
Practice address
593 Eddy St
Providence, RI 02903-4923
Phone
(401) 444-5033
Fax
(401) 444-9822
NPI assigned
Apr 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X LP04908 RI Primary

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-5033

Other practice location 1

501 Madison Avenue
Scranton, PA 18510
Phone (570) 343-2383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20220726001799 DE Practitioner - NephrologyPractitioner - Internal Medicine 1759655285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates PAGroup PAC ID 9830098177, 55 clinicians

Practice addresses (Care Compare)

1198 S Governors Ave
Suite B100
Dover, DE 19904-6930
Phone (302) 734-3227

4923 Ogletown Stanton Rd
Suite 200
Newark, DE 19713-2081
Phone (302) 225-0451

701 N Clayton St
Suite 401
Wilmington, DE 19805-3165
Phone (302) 421-9411

Hospital & facility affiliations

  • FKC Central Delaware Dialysis facility, Dover, DE, CCN 082502
  • FKC Greentree Dialysis facility, Dover, DE, CCN 082515
  • FKC Smyrna Dialysis facility, Smyrna, DE, CCN 082512
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
  • Christiana Hospital Hospital, Newark, DE, CCN 080001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP04908RIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates PA Nephrology CurrentSince Aug 1, 2022 Accepting new patients

Locations

1198 S Governors Ave
Bldg B
Dover, DE 19904
Phone (302) 736-1340

1198 S Governors Ave
Ste B100
Dover, DE 19904
Phone (302) 734-3227

4923 Ogletown Stanton Rd
Ste 200
Newark, DE 19713
Phone (302) 225-0451

701 N Clayton St
Ste 401
Wilmington, DE 19805
Phone (302) 225-0451

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.

Hospital & facility affiliations 3

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": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1477087070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-5033",
            "fax_number": "401-444-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-5033",
            "fax_number": "401-444-9822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Madison Avenue",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "18510",
            "country_code": "US",
            "telephone_number": "570-343-2383",
            "fax_number": "570-343-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIAQAT",
        "first_name": "MUHAMMAD",
        "middle_name": "WAQAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "RI",
            "license": "LP04908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.