Active NPI
Yiling Peter Liu, M.D.
- Internal Medicine Physician
- Virginia Beach, VA
National Provider Identifier
1477579241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101265782
- Practice address
- 1925 Glenn Mitchell Dr Ste 100
Virginia Beach, VA 23456-0170 - Phone
- (757) 689-8430
- Fax
- (757) 689-8435
- NPI assigned
- Jul 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34534 | KY | |
| Internal Medicine Physician | 207R00000X | 0101265782 | VA | Primary |
Addresses
Primary practice location
1925 Glenn Mitchell Dr Ste 100
Virginia Beach, VA 23456-0170
Mailing address
PO Box 7068
Portsmouth, VA 23707-0068
Phone (757) 686-3508
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4000501 | Other | KY | MEDICARE LAB GROUP# |
| 110198609 | Other | GA | RR MEDICARE PIN# |
| CB5773 | Other | GA | RR MEDICARE GROUP# |
| 37903705 | Other | KY | MEDICAID LAB GROUP# |
| 64345341 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34534 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Physician Services, PC | Internal Medicine | Current | Accepting new patients |
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Bayview Medical Center, Inc | Past | Accepting new patients | |
| Bayview Physician Services, PC | Past | Accepting new patients |
Locations
3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321
111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210
1925 Glenn Mitchell Dr
Ste 100
Virginia Beach, VA 23456
Phone (757) 689-8430
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
Internal Medicine
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1699865626
-
- Ambulatory Surgical Clinic/Center
- Suffolk, VA
- NPI 1568466209
-
- Clinical Medical Laboratory
- Suffolk, VA
- NPI 1629032339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546214400000",
"number": "1477579241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7068",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237070068",
"telephone_number": "757-686-3508",
"fax_number": "757-686-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 GLENN MITCHELL DR STE 100",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234560170",
"telephone_number": "757-689-8430",
"fax_number": "757-689-8435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "YILING",
"middle_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2018-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "34534",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101265782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LAB GROUP#",
"identifier": "4000501",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN#",
"identifier": "110198609",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP#",
"identifier": "CB5773",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID LAB GROUP#",
"identifier": "37903705",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64345341",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.