Individual provider Active NPI

Fong Liu, M.D.

  • Gynecologic Oncology Physician
  • Towson, MD
National Provider Identifier
1841459948
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
D89764 Issued in MD
Practice address
6569 N Charles St Ste 306
Towson, MD 21204-5816
Phone
(443) 849-2765
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 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 D89764 MD Primary

Addresses

Primary practice location

6569 N Charles St Ste 306
Towson, MD 21204-5816

Mailing address

6569 N Charles St Ste 306
Towson, MD 21204-5816
Phone (443) 849-2765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150916002132 MA Practitioner - Obstetrics/Gynecology 9931387255 Reassigns benefits to 4 organizations
I20200805001063 MD Practitioner - Gynecological Oncology 9931387255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians
Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians

Practice addresses (Care Compare)

10755 Falls Rd
Lutherville, MD 21093-4515
Phone (443) 997-0400

3701 N Charles St
South Chapman Building Suite 102
Towson, MD 21204-6808

600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000

600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340

6565 N Charles St
Baltimore, MD 21204-6808

6569 N Charles St
Baltimore, MD 21204-5816

6569 N Charles St
Suite 505
Baltimore, MD 21204-6808
Phone (443) 849-2658

6569 N Charles St PPW Room
307 GYN Specialists
Baltimore, MD 21204-6808
Phone (443) 849-6123

6569 N Charles Street
504 Hoover Low Vision GBMC
Baltimore, MD 21204-6808
Phone (443) 849-2658

6701 N Charles St
Baltamore, MD 21204-6808

6701 N Charles St BLDG
S Chapman BLDG Suite 102
Baltimore, MD 21204-6808

6701 N Charles St Unit
Baltimore, MD 21204-6808
Phone (443) 849-3131

6715 N Charles St
Baltimore, MD 21204-6822

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Mount Auburn Professional Services Inc Obstetrics & Gynecology CurrentSince Aug 11, 2018 Accepting new patients
Johns Hopkins University Current Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Aug 3, 2020 Accepting new patients
Seacoast Affiliated Group Practice, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jul 1, 2015 Accepting new patients
Greater Baltimore Medical Center, Inc Obstetrics & Gynecology Current Accepting new patients
Johns Hopkins University Obstetrics & Gynecology CurrentSince Aug 1, 2020 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Obstetrics & Gynecology CurrentSince Jul 1, 2015 Accepting new patients
Mt Auburn Professional Services Obstetrics & Gynecology CurrentSince Aug 11, 2018 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Aug 3, 2020 Accepting new patients
Johns Hopkins University CurrentSince Aug 1, 2020 Accepting new patients
Greater Baltimore Medical Center, Inc. Past Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

21 Highland Ave
Ste 5
Newburyport, MA 01950
Phone (978) 255-4217

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

6569 N Charles St
Ste 306
Towson, MD 21204
Phone (443) 849-2210

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

6715 N Charles St
Ste 125
Towson, MD 21204
Phone (443) 849-2765

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: fliu741431@direct.hopkinsmedicine.org

Organizations & group practices 15

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.

View all 15

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1841459948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 N CHARLES ST STE 306",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045816",
            "telephone_number": "443-849-2765",
            "fax_number": "443-849-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6569 N CHARLES ST STE 306",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045816",
            "telephone_number": "443-849-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "FONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2024-04-17",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MD",
            "license": "D89764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.