Active NPI
Michael Liu, M.D.
- Pediatric Cardiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- R2657
- Practice address
- 3401 Civic Center Blvd
Division of Cardiology
Philadelphia, PA 19104-4319 - Phone
- (832) 692-3499
- NPI assigned
- Apr 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A124770 | CA | |
| Pediatric Cardiology Physician | 2080P0202X | MT205572 | PA | |
| Pediatric Cardiology Physician | 2080P0202X | R2657 | TX | Primary |
Addresses
Primary practice location
3401 Civic Center Blvd
Division of Cardiology
Philadelphia, PA 19104-4319
Mailing address
3401 Civic Center Blvd
Division of Cardiology
Philadelphia, PA 19104-4319
Phone (832) 692-3499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A124770 | CA | MD | Pediatrics Physician |
| MT205572 | PA | MD | Pediatric Cardiology Physician |
| R2657 | TX | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Pediatrics | Current | Accepting new patients |
| Dell Children'S Medical Group | Pediatrics | Current | Accepting new patients |
| Magella Medical Associates Billing, Inc. | Pediatric Cardiology | Current | Accepting new patients |
| Dell Children'S Medical Group | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients |
Locations
4910 Mueller Blvd
Ste 102
Austin, TX 78723
Phone (512) 777-2917
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
4910 Mueller Blvd
Ste 103
Austin, TX 78723
Phone (512) 324-0040
4314 Medical Pkwy
Ste 200
Austin, TX 78756
1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800
8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250
815 Market St
Galveston, TX 77550
Phone (409) 770-6600
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501
101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400
Interoperability endpoints
- michael.liumd.p105@direct.mednax.nextgenshare.com
- michael.liu.1@8363.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- Pediatrics Physician
- Austin, TX
- NPI 1326072943
-
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
Pediatric Cardiology
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Sleep Disorder Diagnostic Clinic/Center
- Austin, TX
- NPI 1124748249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1841533072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BLVD",
"address_2": "DIVISION OF CARDIOLOGY",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044319",
"telephone_number": "832-692-3499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BLVD",
"address_2": "DIVISION OF CARDIOLOGY",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044319",
"telephone_number": "832-692-3499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-06",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A124770",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "PA",
"license": "MT205572",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "TX",
"license": "R2657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.