Individual provider Active NPI

Roger Liu, MD

  • Diagnostic Radiology Physician
  • Tacoma, WA
National Provider Identifier
1871811869
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD60636115 Issued in WA
Practice address
1933 Dock St Unit 608
Tacoma, WA 98402-3276
Phone
(720) 321-0000
Fax
(720) 321-1621
NPI assigned
May 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X MD60636115 WA
Diagnostic Radiology Physician 2085R0202X MD60636115 WA Primary

Addresses

Primary practice location

1933 Dock St Unit 608
Tacoma, WA 98402-3276

Mailing address

PO Box 223897
Pittsburgh, PA 15251-2897
Phone (844) 947-4260

Other practice location 1

1304 Fawcett Ave Ste 100
Tacoma, WA 98402
Phone (253) 761-4200

Other practice location 2

11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-0000

Other identifiers 1

IdentifierTypeStateIssuer
2057862MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, DC2 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
I20160808001503 WA Practitioner - Diagnostic Radiology 2769776137 Reassigns benefits to 4 organizations
I20241101003117 DC Practitioner - Diagnostic Radiology 2769776137 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Imaging Associates P CGroup PAC ID 6800880055, 61 clinicians
Tra-Minw P SGroup PAC ID 2163316167, 152 clinicians

Practice addresses (Care Compare)

1933 Dock St
Unit 608
Tacoma, WA 98402-3276
Phone (303) 223-4448

8004 Boulder Ridge Way
Gaithersburg, MD 20879-5635
Phone (253) 761-4200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60636115WAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Imaging Associates P C Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Tra Medical Imaging Centers LLC CurrentSince Dec 1, 2025 Accepting new patients
Tra-Minw P S CurrentSince Jan 1, 2017 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Sep 20, 2024 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Jan 1, 2017 Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Aug 1, 2016 Accepting new patients

Locations (25 of 50)

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

16280 W 64th Ave
Arvada, CO 80007
Phone (720) 898-1110

7375 W 52nd Ave
Ste 210
Arvada, CO 80002
Phone (720) 741-0810

1700 S Potomac St
Aurora, CO 80012
Phone (303) 418-7600

4715 Arapahoe Ave
Boulder, CO 80303
Phone (303) 385-2000

400 N Park Ave
Ste 1A
Breckenridge, CO 80424
Phone (970) 547-9200

286 16th St
Burlington, CO 80807
Phone (719) 346-5311

6031 E Woodmen Rd
Ste 200
Colorado Springs, CO 80923
Phone (719) 577-2555

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

1800 N Williams St
Ste 100
Denver, CO 80218
Phone (303) 285-5020

2777 Mile High Stadium Cir
Denver, CO 80211
Phone (303) 825-8822

32214 Ellingwood Trl
Ste 210
Evergreen, CO 80439
Phone (303) 679-2020

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

760 Warner Dr
Golden, CO 80401
Phone (303) 925-4360

235 W Fletcher St
Haxtun, CO 80731
Phone (970) 351-0999

11650 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-5160

11700 W 2nd Pl
Ste 410
Lakewood, CO 80228
Phone (720) 321-8280

11700 W 2nd Pl
Ste 150
Lakewood, CO 80228
Phone (720) 321-8020

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

3280 S Wadsworth Blvd
Lakewood, CO 80227
Phone (303) 649-3620

255 S Routt St
Ste 300
Lakewood, CO 80228
Phone (720) 321-8280

255 S Routt St
Lakewood, CO 80228
Phone (720) 321-8920

822 W 4th St
Leadville, CO 80461
Phone (719) 486-0230

22 W Dry Creek Cir
Littleton, CO 80120
Phone (303) 730-4700

10107 Ridgegate Pkwy
Ste 200
Lone Tree, CO 80124
Phone (303) 925-0700

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-trami

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1871811869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223897",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152512897",
            "telephone_number": "844-947-4260",
            "fax_number": "302-261-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 DOCK ST UNIT 608",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023276",
            "telephone_number": "720-321-0000",
            "fax_number": "720-321-1621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Fawcett Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "98402",
            "country_code": "US",
            "telephone_number": "253-761-4200",
            "fax_number": "253-761-4201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11600 W 2nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281527",
            "country_code": "US",
            "telephone_number": "720-321-0000",
            "fax_number": "720-321-1621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-14",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WA",
            "license": "MD60636115",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60636115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2057862",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.