Individual provider Active NPI

Lianke Mu, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Gadsden, AL
National Provider Identifier
1700847720
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
00023496 Issued in AL
Practice address
100 Medical Center Dr
Suite # 305
Gadsden, AL 35903-1134
Phone
(256) 494-0990
Fax
(256) 494-0948
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 00023496 AL Primary

Addresses

Primary practice location

100 Medical Center Dr
Suite # 305
Gadsden, AL 35903-1134

Mailing address

100 Medical Center Dr
Suite # 305
Gadsden, AL 35903-1134
Phone (256) 494-0990

Other identifiers 1

IdentifierTypeStateIssuer
051510578MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040204000963 AL Practitioner - Endocrinology 1153214051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
EnmpcGroup PAC ID 5496648347, 2 clinicians

Practice addresses (Care Compare)

2810 Rainbow Dr
Rainbow City, AL 35906-5811
Phone 2564940990102

Hospital & facility affiliations

  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005
  • Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012
  • Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00023496ALMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enmpc Endocrinology, Diabetes & Metabolism CurrentSince Jul 26, 2000 Accepting new patients

Locations

100 Medical Center Dr
Ste 305
Gadsden, AL 35903
Phone (256) 494-0990

2810 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 494-0990

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BABDAD/Endpoint/BABDAD

Organizations & group practices 1

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 3

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1700847720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "address_2": "SUITE # 305",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031134",
            "telephone_number": "256-494-0990",
            "fax_number": "256-494-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "address_2": "SUITE # 305",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031134",
            "telephone_number": "256-494-0990",
            "fax_number": "256-494-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MU",
        "first_name": "LIANKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AL",
            "license": "00023496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051510578",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.