Individual provider Active NPI

Charles H Lieu, MD

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1871510396
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
103617 Issued in MO
Practice address
1110 Highlands Plaza Dr E Ste 220
Saint Louis, MO 63110-1351
Phone
(314) 273-0195
Fax
(314) 273-0190
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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 103617 MO Primary

Addresses

Primary practice location

1110 Highlands Plaza Dr E Ste 220
Saint Louis, MO 63110-1351

Mailing address

1110 Highlands Plaza Dr E Ste 220
Saint Louis, MO 63110-1351
Phone (314) 273-0195

Other identifiers 1

IdentifierTypeStateIssuer
208263012MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

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
I20050824000025 MO Practitioner - Internal Medicine 3476584095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Groups LCGroup PAC ID 3072421254, 526 clinicians
Physical Therapy Spine and Sports Medicine LLCGroup PAC ID 3173654936, 123 clinicians

Practice addresses (Care Compare)

1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195

15425 Manchester Rd
Suite 28
Ballwin, MO 63011-3077
Phone (636) 220-6969

2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454

Hospital & facility affiliations

  • BJC Home Care Services Home health agency, Saint Louis, MO, CCN 267276
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032
  • Barnes-Jewish West County Hospital Hospital, Creve Coeur, MO, CCN 260162
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108
  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • SSM Health St Mary'S Hospital - St Louis Hospital, Saint Louis, MO, CCN 260091
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Groups LC CurrentSince Jan 15, 2009 Accepting new patients
Physician Groups, LC CurrentSince Jan 15, 2009 Accepting new patients
Washington University CurrentSince Nov 21, 2018 Accepting new patients
Washington University CurrentSince Nov 21, 2018 Accepting new patients
Physician Groups LC Internal Medicine Past Accepting new patients
Waterbury Hospital Past Accepting new patients

Locations

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 953-8250

8 Millstone Campus Dr
Saint Louis, MO 63146
Phone (314) 273-4375

1110 Highlands Plaza Dr E
Ste 280
Saint Louis, MO 63110
Phone (314) 273-0195

1110 Highlands Plaza Dr E
Ste 220
Saint Louis, MO 63110
Phone (314) 273-0195

Interoperability endpoints

  • Direct secure messaging: clieu11287@direct.carenet.org

Organizations & group practices 7

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 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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1871510396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 HIGHLANDS PLAZA DR E STE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101351",
            "telephone_number": "314-273-0195",
            "fax_number": "314-273-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 HIGHLANDS PLAZA DR E STE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101351",
            "telephone_number": "314-273-0195",
            "fax_number": "314-273-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEU",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "103617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208263012",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1110 Highlands Plaza Dr E Ste 220",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.