Individual provider Active NPI

Ming Y. Liu, M.D.

  • Anesthesiology Physician
  • South Boston, VA
National Provider Identifier
1548215643
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101234023 Issued in VA
Practice address
2204 Wilborn Ave
South Boston, VA 24592-1645
Phone
(434) 517-3100
Fax
(434) 517-3602
NPI assigned
May 24, 2006
Last updated
Jan 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101234023 VA Primary

Addresses

Primary practice location

2204 Wilborn Ave
South Boston, VA 24592-1645

Mailing address

2232 Wilborn Ave
South Boston, VA 24592-1662
Phone (434) 517-3539

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031205000720 VA Practitioner - Anesthesiology 8820993355 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Premier Anesthesia of Virginia LLCGroup PAC ID 1951722362, 48 clinicians

Practice addresses (Care Compare)

2204 Wilborn Ave
South Boston, VA 24592-1645
Phone (434) 517-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101234023VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince May 25, 2022 Accepting new patients
Dominion Health Medical Assoc. Current Accepting new patients
Premier Anesthesia of Virginia LLC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Dominion Health Medical Assoc CurrentSince Sep 1, 2011 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince May 25, 2022 Accepting new patients
SMG Anesthesia Specialists LLC Anesthesiology CurrentSince Sep 1, 2019 Accepting new patients
Dominion Health Medical Assoc Anesthesiology CurrentSince Sep 1, 2011 Accepting new patients
Anesthesia Healthcare Partners, Inc. Anesthesiology Past Accepting new patients
North American Partners in Anesthesia (Virginia), LLC Anesthesiology Past Accepting new patients

Locations

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3000 Coliseum Dr
Hampton, VA 23666
Phone (757) 736-1000

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

11440 Commerce Park Dr
Ste LL4
Reston, VA 20191
Phone (703) 766-2600

2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100

2232 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3539

2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095

504 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3400

1975 Glenn Mitchell Dr
Ste 300
Virginia Beach, VA 23456
Phone (757) 507-0170

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

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

Hospital & facility affiliations 1

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1548215643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921662",
            "telephone_number": "434-517-3539",
            "fax_number": "434-517-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921645",
            "telephone_number": "434-517-3100",
            "fax_number": "434-517-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "MING",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101234023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.