Individual provider Active NPI

Jenny Aihong Liu, MD

  • Family Medicine Physician
  • Lake Worth, FL
National Provider Identifier
1508094988
Registry record updated Jul 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD458932 Issued in PA
Practice address
4073 Plumbago PL
Lake Worth, FL 33462
Phone
(561) 283-9041
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD458932 PA Primary

Addresses

Primary practice location

4073 Plumbago PL
Lake Worth, FL 33462

Mailing address

4073 Plumbago PL
Lake Worth, FL 33462
Phone (561) 283-9041

Other names 1

  • Jenny A Liu Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161118001192 TX Practitioner - Family PracticePractitioner - Emergency Medicine 6103951025 Reassigns benefits to 5 organizations
I20240705002004 CA Practitioner - Emergency Medicine 6103951025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (469) 420-5527

Hospital & facility affiliations

  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Oakbend Medical Center Hospital, Richmond, TX, CCN 450330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD458932PAMDFamily Medicine Physician
TEMPORARYTXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Emergency Medicine Associates, PA CurrentSince Mar 4, 2018 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC CurrentSince Dec 1, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Jones ER Physicians Staffing Inc CurrentSince Feb 14, 2023 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Aug 15, 2017 Accepting new patients
Sunshine Physician Services, PC CurrentSince May 10, 2024 Accepting new patients
Singleton Associates PA Past Accepting new patients
Village Emergency Room LLC Past Accepting new patients
East Florida Hospitalists LLC Past Accepting new patients

Locations

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

13725 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-4243

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

2320 S Shepherd Dr
Houston, TX 77019
Phone (713) 322-8716

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

17030 Northwest Fwy
Bldg A
Jersey Village, TX 77040
Phone (832) 232-0600

17030 Northwest Fwy
Jersey Village, TX 77040
Phone (832) 232-0600

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: jenny.liu.1@13131.direct.athenahealth.com

Organizations & group practices 9

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 2

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469836800000",
    "number": "1508094988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4073 PLUMBAGO PL",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33462",
            "telephone_number": "561-283-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4073 PLUMBAGO PL",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33462",
            "telephone_number": "561-283-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JENNY",
        "middle_name": "AIHONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2016-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD458932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "LIU",
            "middle_name": "A",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.