Individual provider Active NPI

Connie X. Liu, M.D.,

  • Family Medicine Physician
  • Deerfield Beach, FL
National Provider Identifier
1659566545
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME118974 Issued in FL
Practice address
1979 W Hillsboro Blvd
Suite 1
Deerfield Beach, FL 33442-1444
Phone
(954) 428-4800
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME118974 FL Primary

Addresses

Primary practice location

1979 W Hillsboro Blvd
Suite 1
Deerfield Beach, FL 33442-1444

Mailing address

3867 Turtle Run Blvd
Coral Springs, FL 33067-4227
Phone (732) 766-6976

Other identifiers 2

IdentifierTypeStateIssuer
11943704OtherFLCAQH
012569200MedicaidFL

Other names 1

  • Ms. Xia Liu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141204002117 FL Practitioner - Family Practice 7810045762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians

Practice addresses (Care Compare)

1228 S Pine Island Rd
Suite 110
Plantation, FL 33324-4580
Phone (954) 837-1410

12472 W Sunrise Blvd
Sunrise, FL 33323-2987
Phone (954) 837-1245

14701 NW 77TH Ave
Miami Lakes, FL 33014-2500
Phone (786) 662-0700

15885 Pines Blvd
Pembroke Pines, FL 33027-1220
Phone (954) 837-1300

1652 Town Ctr Cir
Weston, FL 33326-3666
Phone (954) 837-1150

4741 S University Dr
Davie, FL 33328-3819
Phone (954) 837-1050

6264 W Sample Rd
Suite 100
Coral Springs, FL 33067-3273
Phone (954) 837-1020

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Criticare Clinics Inc CurrentSince Jan 3, 2015 Accepting new patients
Toms River Cardiovascular Institute LLC Past Accepting new patients

Locations

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

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.

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1659566545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3867 TURTLE RUN BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674227",
            "telephone_number": "732-766-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 W HILLSBORO BLVD",
            "address_2": "SUITE 1",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421444",
            "telephone_number": "954-428-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "CONNIE",
        "middle_name": "X.",
        "name_prefix": "Ms.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME118974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11943704",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012569200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XIA",
            "last_name": "LIU",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.