Individual provider Active NPI

Janice Rebecca Liu, MD

  • Gynecologic Oncology Physician
  • Ypsilanti, MI
National Provider Identifier
1699868752
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
4301065463 Issued in MI
Practice address
Trinity Health Iha Medical Group Gynecology Oncology
5303 Elliot Drive Suite 220
Ypsilanti, MI 48197-8632
Phone
(734) 712-2005
Fax
(734) 712-2013
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 4301065463 MI Primary

Addresses

Primary practice location

Trinity Health Iha Medical Group Gynecology Oncology
5303 Elliot Drive Suite 220
Ypsilanti, MI 48197-8632

Mailing address

24 Frank Lloyd Wright Drive
Lobby J2000
Ann Arbor, MI 48105
Phone (734) 647-5299

Other identifiers 1

IdentifierTypeStateIssuer
3208353MedicaidMI

Other names 1

  • J Rebecca Liu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060504000082 MI Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 7012927114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Gynecological Oncology
Education
Vanderbilt University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700

51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304

5301 E Huron River Dr
Ypsilanti, MI 48197-1051

5301 McAuley Dr
Ypsilanti, MI 48197-1051

5303 Elliott Dr
Suite 202
Ypsilanti, MI 48197-8632
Phone (734) 712-2005

Hospital & facility affiliations

  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • Chelsea Hospital Hospital, Chelsea, MI, CCN 230259
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of the uterus19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation Obstetrics & Gynecology Current Accepting new patients
Iha Health Services Corporation Gynecologic Oncology CurrentSince Dec 1, 2023 Accepting new patients
Regents of the University of Michigan Obstetrics & Gynecology CurrentSince Sep 26, 2005 Accepting new patients
Regents of the University of Michigan CurrentSince Sep 26, 2005 Accepting new patients
Iha Health Service Corporation Obstetrics & Gynecology CurrentSince Dec 1, 2023 Accepting new patients
Regents of the University of Michigan PastSince Feb 1, 2020 Accepting new patients
Iha Health Services Corporation PastSince Jan 7, 2024 Accepting new patients

Locations

1500 E Medical Center Dr
Fl 1
Ann Arbor, MI 48109
Phone (734) 936-4054

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

3621 S State St
#700
Ann Arbor, MI 48108

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

39901 Traditions Dr
Northville, MI 48168
Phone (248) 305-4400

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

5303 Elliott Dr
Ste 220
Ypsilanti, MI 48197
Phone (734) 712-2005

5315 Elliott Dr
Ste 102
Ypsilanti, MI 48197
Phone (313) 434-4110

5301 E Huron River Dr
Ste 208
Ypsilanti, MI 48197
Phone (734) 712-2005

Interoperability endpoints

  • Direct secure messaging: jliu49568@direct.med.umich.edu

Organizations & group practices 7

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 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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1699868752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "LOBBY J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRINITY HEALTH IHA MEDICAL GROUP GYNECOLOGY ONCOLOGY",
            "address_2": "5303 ELLIOT DRIVE SUITE 220",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978632",
            "telephone_number": "734-712-2005",
            "fax_number": "734-712-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JANICE",
        "middle_name": "REBECCA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-01-04",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MI",
            "license": "4301065463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3208353",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "LIU",
            "middle_name": "REBECCA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.