Individual provider Active NPI

Danny T Liu, M.D.

  • Surgery Physician
  • Joplin, MO
National Provider Identifier
1740487552
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2013013920 Issued in MO
Practice address
3020 Saint Johns Blvd
Ste F
Joplin, MO 64804-1564
Phone
(417) 781-4404
Fax
(417) 781-5845
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R8042 IA
Surgery Physician 208600000X 2013013920 MO Primary

Addresses

Primary practice location

3020 Saint Johns Blvd
Ste F
Joplin, MO 64804-1564

Mailing address

3020 Saint Johns Blvd
Ste F
Joplin, MO 64804-1564
Phone (417) 781-4404

Other identifiers 3

IdentifierTypeStateIssuer
1740487552MedicaidMO
2010764640AMedicaidKS
200498040AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20130712000629 MO Practitioner - General Surgery 1951541010 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Missouri, Columbia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524

94 Main St
Cassville, MO 65625-1610
Phone (417) 782-7722

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy48
Upper gastrointestinal (GI) endoscopy for acid reflux14
Melanoma (skin cancer) excision12
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8042IAMDSurgery Physician
2013013920MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince May 12, 2020 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince May 12, 2020 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince May 12, 2020 Accepting new patients
Mercy Clinic Joplin LLC Surgery CurrentSince Aug 1, 2013 Accepting new patients
Mercy Hospital Joplin Past Accepting new patients

Locations

448 State Highway 248
Ste 150
Branson, MO 65616
Phone (417) 336-6713

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 Mercy Way
Ste 420
Joplin, MO 64804
Phone (417) 556-2278

100 Mercy Way
Ste 430
Joplin, MO 64804
Phone (417) 556-2278

3020 Saint Johns Blvd Ste F
Ste F
Joplin, MO 64804
Phone (417) 781-4404

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Mercy Way
Ste 440
Joplin, MO 64804
Phone (417) 781-4404

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Interoperability endpoints

  • Direct secure messaging: dliu363807@directc.mercy.net
  • Direct secure messaging: dliu354150@directb.mercy.net

Organizations & group practices 5

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1740487552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 SAINT JOHNS BLVD",
            "address_2": "STE F",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041564",
            "telephone_number": "417-781-4404",
            "fax_number": "417-781-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 SAINT JOHNS BLVD",
            "address_2": "STE F",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041564",
            "telephone_number": "417-781-4404",
            "fax_number": "417-781-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "DANNY",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "R8042",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2013013920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740487552",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010764640A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200498040A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.