Active NPI
Xinsheng Michael Liao, MD PHD
- Medical Oncology Physician
- Bellevue, WA
National Provider Identifier
1619963543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- MD00036160
- Practice address
- 15823 SE 45TH St
Bellevue, WA 98006-4547 - Phone
- (425) 643-9602
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | MD00036160 | WA | |
| Medical Oncology Physician | 207RX0202X | MD00036160 | WA | Primary |
Addresses
Primary practice location
15823 SE 45TH St
Bellevue, WA 98006-4547
Mailing address
15823 SE 45TH St
Bellevue, WA 98006-4547
Phone (425) 643-9602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8254450 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1619963543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15823 SE 45TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980064547",
"telephone_number": "425-643-9602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15823 SE 45TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980064547",
"telephone_number": "425-643-9602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIAO",
"first_name": "XINSHENG",
"middle_name": "MICHAEL",
"credential": "MD PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2022-04-21",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "WA",
"license": "MD00036160",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "WA",
"license": "MD00036160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8254450",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.