NPIMap

Individual provider Active NPI

John Liu, MD

  • Family Medicine Physician
  • Hinsdale, IL
National Provider Identifier
1689770232
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036112978 Issued in IL
Practice address
908 N Elm St Ste 202
Hinsdale, IL 60521-3637
Phone
(630) 861-6663
NPI assigned
Sep 14, 2006
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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 036112978 IL Primary

Addresses

Primary practice location

908 N Elm St Ste 202
Hinsdale, IL 60521-3637

Mailing address

908 N Elm St Ste 202
Hinsdale, IL 60521-3637
Phone (630) 861-6663

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address john.liu.1@380.direct.athenahealth.com
Direct Messaging Address john.liu.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050923000310 IL Practitioner - Family Practice 9335173897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians
At Home Care Physicians PLLCGroup PAC ID 8921570169, 2 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

396 Remington Blvd
Bolingbrook, IL 60440-4311

4200 Cantera Dr
Suite 114
Warrenville, IL 60555-3040
Phone (331) 252-4078

630 E N Ave
Carol Stream, IL 60188-2127
Phone (630) 458-5300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036112978ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc Family Medicine CurrentSince Oct 1, 2006 Accepting new patients
At Home Care Physicians PLLC Family Medicine CurrentSince Jul 1, 2026 Accepting new patients
Adventist Health Partners, Inc CurrentSince Oct 1, 2006 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Stamford Health Medical Group Inc Family Medicine Past Accepting new patients
Adventist Health Partners, Inc Past Accepting new patients

Locations

1000 Remington Blvd
Ste 200
Bolingbrook, IL 60440
Phone (630) 312-7755

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

333 W Chestnut St
Ste 105
Hinsdale, IL 60521
Phone (630) 789-0250

908 N Elm St
Ste 202
Hinsdale, IL 60521
Phone (630) 856-8640

908 N Elm St
Ste 207
Hinsdale, IL 60521
Phone (312) 323-1558

4200 Cantera Dr
Ste 114
Warrenville, IL 60555
Phone (331) 252-4078

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA
  • Direct secure messaging: jliu1240330@adventhealth.direct-ci.com
  • Direct secure messaging: john.liu.1@380.direct.athenahealth.com

Organizations & group practices 8

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1689770232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 202",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213637",
            "telephone_number": "630-861-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 202",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213637",
            "telephone_number": "630-861-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036112978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.liu.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "908 N Elm St",
            "address_2": "STE 207",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605213635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.liu.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "908 N Elm St Ste 202",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605213637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.