NPIMap

Individual provider Active NPI

Juan Domingo Ly Liu, MD

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
National Provider Identifier
1528514171
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD476652 Issued in PA
Practice address
200 Lothrop St
Suite E204
Pittsburgh, PA 15213-2536
Phone
(412) 647-3510
Fax
(412) 647-0738
NPI assigned
Sep 1, 2016
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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 MT211216 PA
Diagnostic Radiology Physician 2085R0202X MD476652 PA Primary

Addresses

Primary practice location

200 Lothrop St
Suite E204
Pittsburgh, PA 15213-2536

Mailing address

320 E North Avenue
17TH Floor South Tower
Pittsburgh, PA 15212
Phone (412) 359-4882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220803000673 PA Practitioner - Diagnostic Radiology 8820491749 Reassigns benefits to 1 organization
I20230309000920 NY Practitioner - Diagnostic Radiology 8820491749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chautauqua Medical Practice PCGroup PAC ID 5294920203, 103 clinicians
Allegheny Clinic RadiologyGroup PAC ID 8426364738, 153 clinicians

Practice addresses (Care Compare)

189 E Main St
Westfield, NY 14787-1104
Phone (716) 793-2221

320 E N Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-2459

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
315077NYMDLicensed Practical Nurse
MT211216PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Chautauqua Medical Practice, P.C. CurrentSince Feb 1, 2023 Accepting new patients
Allegheny Clinic Radiology Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Saint Vincent Consultants in Cardiovascular Diseases Past Accepting new patients
St Vincent Medical Education and Research Institute Inc PastSince Jun 29, 2025 Accepting new patients

Locations

189 E Main St
Westfield, NY 14787
Phone (716) 326-4921

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

100 S Jackson Ave
Pittsburgh, PA 15202
Phone (412) 734-6030

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

320 E North Ave
Fl 17
Pittsburgh, PA 15212
Phone (412) 359-2459

320 E North Ave
Ste G70
Pittsburgh, PA 15212

600 Aberdeen Dr
#B
Somerset, PA 15501

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1528514171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVENUE",
            "address_2": "17TH FLOOR SOUTH TOWER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15212",
            "telephone_number": "412-359-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "SUITE E204",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-3510",
            "fax_number": "412-647-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY LIU",
        "first_name": "JUAN",
        "middle_name": "DOMINGO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-02-01",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT211216",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD476652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.