NPIMap

Individual provider Active NPI

Dennis S Liu, MD

  • Internal Medicine Physician
  • Arcadia, CA
National Provider Identifier
1629164520
Registry record updated Mar 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A72151 Issued in CA
Practice address
622 W Duarte Rd Ste 103
Arcadia, CA 91007-9268
Phone
(626) 445-7490
Fax
(626) 445-7496
NPI assigned
Oct 5, 2006
Last updated
Mar 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A72151 CA Primary

Addresses

Primary practice location

622 W Duarte Rd Ste 103
Arcadia, CA 91007-9268

Mailing address

622 W Duarte Rd Ste 103
Arcadia, CA 91007-9268
Phone (626) 445-7490

Other identifiers 2

IdentifierTypeStateIssuer
P00146025OtherRAILROAD MEDICARE
00A721510OtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729000387 CA Practitioner - Internal Medicine 7517937428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

622 W Duarte Rd
Suite 103
Arcadia, CA 91007-9268
Phone (626) 446-4727

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A72151CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis S Liu MD Inc Internal Medicine CurrentSince Jul 1, 2004 Accepting new patients
Dignity Community Care Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients

Locations

622 W Duarte Rd
Ste 103
Arcadia, CA 91007
Phone (626) 445-4873

624 W Duarte Rd
Ste 105
Arcadia, CA 91007
Phone (626) 446-1740

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dennis.liu@1013456801431556.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arcadia Care CenterArcadia, CA, CCN 555729 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 18, 2024
Nov 18, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 5

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583020800000",
    "number": "1629164520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD STE 103",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079268",
            "telephone_number": "626-445-7490",
            "fax_number": "626-445-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD STE 103",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079268",
            "telephone_number": "626-445-7490",
            "fax_number": "626-445-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "DENNIS",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A72151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00146025",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A721510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.