Individual provider Active NPI

Michael Liu, M.D.

  • Pediatric Cardiology Physician
  • Philadelphia, PA
National Provider Identifier
1841533072
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
R2657 Issued in TX
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

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170620002272 TX Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 7416225206 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A124770CAMDPediatrics Physician
MT205572PAMDPediatric Cardiology Physician
R2657TXMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children'S Physician Group Pediatrics CurrentSince Jun 20, 2018 Accepting new patients
Dell Children'S Medical Group Pediatrics CurrentSince Apr 1, 2023 Accepting new patients
Magella Medical Associates Billing, Inc. Pediatric Cardiology CurrentSince Oct 1, 2019 Accepting new patients
Dell Children'S Medical Group CurrentSince Apr 1, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2017 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2017 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

  • Direct secure messaging: michael.liumd.p105@direct.mednax.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.