Individual provider Active NPI

Tracy Liu, DO

  • Addiction Medicine (Family Medicine) Physician
  • Baltimore, MD
National Provider Identifier
1629631767
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
H0097015 Issued in MD
Practice address
1001 W Pratt St
Baltimore, MD 21223-2679
Phone
(443) 462-3694
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0097015 MD
Addiction Medicine (Family Medicine) Physician 207QA0401X H0097015 MD Primary

Addresses

Primary practice location

1001 W Pratt St
Baltimore, MD 21223-2679

Mailing address

1001 W Pratt St
Baltimore, MD 21223-2679
Phone (443) 462-3694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20231031000702 MD Practitioner - Family Practice 7911353784 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Psychiatry Associates PAGroup PAC ID 1052208253, 54 clinicians

Practice addresses (Care Compare)

1001 W Pratt St
Baltimore, MD 21223-2679
Phone (443) 462-3400

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5881

29 S Paca St
Baltimore, MD 21201-1771
Phone (667) 214-2100

5890 Waterloo Rd
Columbia, MD 21045-2617
Phone (667) 214-2100

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0097015MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Faculty Physicians Immediate Care, LLC CurrentSince Aug 29, 2023 Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Aug 29, 2023 Accepting new patients
University of Maryland Family Medicine Associates, P.a. Current Accepting new patients
University of Maryland Psychiatry Associates, PA CurrentSince Nov 7, 2023 Accepting new patients
University of Maryland Medical Center, LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

250 W Pratt St
Ste 900
Baltimore, MD 21201
Phone (410) 328-6267

1001 W Pratt St
Fl 2
Baltimore, MD 21223
Phone (443) 462-3400

701 W Pratt St
Baltimore, MD 21201
Phone (410) 328-5881

1001 W Pratt St
Baltimore, MD 21223
Phone (410) 962-7180

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

Interoperability endpoints

  • Direct secure messaging: tliu1029124@direct.umm.edu

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1629631767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W PRATT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232679",
            "telephone_number": "443-462-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W PRATT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232679",
            "telephone_number": "443-462-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "TRACY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0097015",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MD",
            "license": "H0097015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.