Active NPI
Carolyn C Liu, MD
- Internal Medicine Physician
- Sammamish, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00043607
- Practice address
- 22707 SE 29TH St
Sammamish, WA 98075-9532 - Phone
- (425) 455-2845
- Fax
- (425) 861-8602
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00043607 | WA | Primary |
Addresses
Primary practice location
22707 SE 29TH St
Sammamish, WA 98075-9532
Mailing address
PO Box 84026
Seattle, WA 98124-8426
Phone (425) 401-1365
Other practice location 1
12917 SE 38th St Ste 100
Bellevue, WA 98006-1349
Phone (425) 641-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0192098 | Other | WA | LABOR AND INDUSTRIES |
| 8412967 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cliu1042328@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22707 SE 29TH St
Sammamish, WA 98075-9532
Phone (425) 455-2845
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00043607 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Internal Medicine | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients |
Locations
12917 SE 38th St
Ste 100
Bellevue, WA 98006
Phone (206) 292-7990
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
22707 SE 29th St
Sammamish, WA 98075
Phone (425) 455-2845
2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364
800 5th Ave
Ste 600
Seattle, WA 98104
Organizations & group practices 2
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.
-
- Physical Therapist
- Seattle, WA
- NPI 1619680840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1619039401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84026",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981248426",
"telephone_number": "425-401-1365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22707 SE 29TH ST",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980759532",
"telephone_number": "425-455-2845",
"fax_number": "425-861-8602"
}
],
"practiceLocations": [
{
"address_1": "12917 SE 38th St Ste 100",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980061349",
"country_code": "US",
"telephone_number": "425-641-4000",
"fax_number": "206-320-5845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "CAROLYN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00043607",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0192098",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8412967",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cliu1042328@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "12917 SE 38th St Ste 100",
"city": "Bellevue",
"state": "WA",
"country_code": "US",
"postal_code": "980061349",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sammamish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.