Individual provider Active NPI

Yi Liu, M.D., PHD

  • Diagnostic Radiology Physician
  • Leesburg, FL
National Provider Identifier
1700835170
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME89347 Issued in FL
Practice address
801 E Dixie Ave
Suite 104
Leesburg, FL 34748-7601
Phone
(352) 365-2583
Fax
(352) 728-6749
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME89347 FL Primary
Magnetic Resonance Imaging (MRI) Internal Medicine Physician 207RM1200X 89347 FL

Addresses

Primary practice location

801 E Dixie Ave
Suite 104
Leesburg, FL 34748-7601

Mailing address

734 N 3Rd St
Suite 115
Leesburg, FL 34748-5285
Phone (352) 365-2583

Other identifiers 3

IdentifierTypeStateIssuer
P00102714OtherFLRR MEDICARE LMIV
P00141024OtherFLRR MEDICARE RACF
273791400MedicaidFL

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
I20040723000691 FL Practitioner - Diagnostic Radiology 5395725915 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Medical Imaging and Breast Center at the Villages LLCGroup PAC ID 0042116865, 21 clinicians

Practice addresses (Care Compare)

801 E Dixie Ave
Suite 104
Leesburg, FL 34748-7601
Phone (352) 787-5858

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.5 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89347FLMDMagnetic Resonance Imaging (MRI) Internal Medicine Physician
ME89347FLMDDiagnostic Radiology Physician

Practice roles (8 of 10)

OrganizationSpecialtyStatusNew patients
Lake Medical Imaging and Breast Center at the Villages LLC Diagnostic Radiology CurrentSince Jul 1, 2004 Accepting new patients
Radiology Associates of Central Florida L L C Diagnostic Radiology CurrentSince Jul 1, 2004 Accepting new patients
Hem Onc Associates of the Treasure Coast, PA CurrentSince Nov 6, 2024 Accepting new patients
Hem Onc Associates of the Treasure Coast, PA CurrentSince Nov 6, 2024 Accepting new patients
Lake Medical Imaging and Breast Center at the Villages LLC Diagnostic Radiology CurrentSince Jun 27, 2021 Accepting new patients
Lake Medical Imaging and Breast Center at the Villages LLC Diagnostic Radiology PastSince Jun 27, 2021 Accepting new patients
Lake Medical Imaging and Breast Center at the Villages LLC Diagnostic Radiology PastSince Jul 25, 2021 Accepting new patients
Lake Medical Imaging and Breast Center at the Villages LLC Diagnostic Radiology PastSince Jul 25, 2021 Accepting new patients

Locations

2100 Nebraska Ave
Ste 107
Fort Pierce, FL 34950
Phone (561) 220-4820

734 N 3rd St
Ste 115
Leesburg, FL 34748
Phone (352) 365-2583

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

801 E Dixie Ave
Ste 104
Leesburg, FL 34748
Phone (352) 287-5858

1871 SE Tiffany Ave
Ste 100
Port St Lucie, FL 34952
Phone (772) 335-5666

1425 S US 301
Sumterville, FL 33585

8801 SE 165th Mulberry Ln
The Villages, FL 32162

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

2955 Brownwood Blvd
Ste 112
The Villages, FL 32163

340 Heald Way
Ste 140
The Villages, FL 32163

1400 N US Highway 441
Ste 510
The Villages, FL 32159
Phone (352) 753-4115

910 Old Camp Rd
Ste 120
The Villages, FL 32162

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: yliu562644@direct.shands.ufl.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1700835170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 N 3RD ST",
            "address_2": "SUITE 115",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485285",
            "telephone_number": "352-365-2583",
            "fax_number": "352-728-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E DIXIE AVE",
            "address_2": "SUITE 104",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487601",
            "telephone_number": "352-365-2583",
            "fax_number": "352-728-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "YI",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME89347",
            "primary": true
        },
        {
            "code": "207RM1200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "89347",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE LMIV",
            "identifier": "P00102714",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE RACF",
            "identifier": "P00141024",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273791400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.