NPIMap

Individual provider Active NPI

Alexander Ong Liu Jr., MD

  • Internal Medicine Physician
  • Beverly Hills, FL
National Provider Identifier
1710920038
Registry record updated Jun 28, 2010
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Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0071491 Issued in FL
Practice address
2 West Lemon Street
Beverly Hills, FL 34465
Phone
(352) 746-2525
Fax
(352) 746-4141
NPI assigned
Jun 14, 2006
Last updated
Jun 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0071491 FL Primary

Addresses

Primary practice location

2 West Lemon Street
Beverly Hills, FL 34465

Mailing address

PO Box 640524
Beverly Hills, FL 34464-0524
Phone (352) 746-2525

Other identifiers 1

IdentifierTypeStateIssuer
21049OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100826000361 FL Practitioner - Internal Medicine 7214051325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 W Lemon St
Beverly Hills, FL 34465-3253
Phone (352) 746-2525

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander O. Liu Jr., M.D., P.a. Internal Medicine CurrentSince Jun 2, 2010 Accepting new patients
Blessilda B. Liu M.D., P.a. Internal Medicine Past Accepting new patients

Locations

2 W Lemon St
Beverly Hills, FL 34465
Phone (352) 746-2525

Organizations & group practices 3

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 8

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1710920038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640524",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344640524",
            "telephone_number": "352-746-2525",
            "fax_number": "352-746-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WEST LEMON STREET",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "34465",
            "telephone_number": "352-746-2525",
            "fax_number": "352-746-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "ALEXANDER",
        "middle_name": "ONG",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0071491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21049",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, FL

Sources for this page

Verify at the official NPI Registry.