NPIMap

Individual provider Active NPI

Jeffrey H Liaw, MD

  • Otolaryngology Physician
  • Alexandria, VA
National Provider Identifier
1912438086
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101278013 Issued in VA
Practice address
6355 Walker Lane, Suite 308
Alexandria, VA 22310-3247
Phone
(703) 313-7700
Fax
(703) 313-0178
NPI assigned
Mar 21, 2017
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Otolaryngology Physician 207Y00000X 0101278013 VA Primary
Otolaryngology Physician 207Y00000X 2022009912 MO

Addresses

Primary practice location

6355 Walker Lane, Suite 308
Alexandria, VA 22310-3247

Mailing address

224-D Cornwall Street, NW.
Suite 403
Leesburg, VA 20176-2704
Phone (703) 737-6010

Other practice location 1

525 N Keene St Ste 201
Columbia, MO 65201-6967
Phone (573) 882-7903

Other practice location 2

5301 Faraon St Ste 160
Saint Joseph, MO 64506-3829
Phone (816) 671-4840

Other identifiers 2

IdentifierTypeStateIssuer
1912438086MedicaidVA
30017647960001MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220719001772 MO Practitioner - Otolaryngology 6305102799
I20230725001897 DC Practitioner - Otolaryngology 6305102799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Drexel University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

6355 Walker LN
308 Metropolitan ENT
Alexandria, VA 22310-3247
Phone (703) 313-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022009912MOMDOtolaryngology Physician
0101278013VAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC CurrentSince Sep 1, 2023 Accepting new patients
Loudoun Medical Group, PC Otolaryngology Current Accepting new patients
Loudoun Medical Group, PC CurrentSince Sep 1, 2023 Accepting new patients
Loudoun Medical Group, PC Otolaryngology Current Accepting new patients
Heartland Regional Medical Center Otolaryngology Past Accepting new patients
Curators of the University of Missouri PastSince Jul 1, 2022 Accepting new patients

Locations

5249 Duke St
Ste 100
Alexandria, VA 22304
Phone (703) 370-2814

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

Interoperability endpoints

  • Direct secure messaging: jeffrey.liaw@lmg1.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1912438086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224-D CORNWALL STREET, NW.",
            "address_2": "SUITE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6010",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LANE, SUITE 308",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103247",
            "telephone_number": "703-313-7700",
            "fax_number": "703-313-0178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 N Keene St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016967",
            "country_code": "US",
            "telephone_number": "573-882-7903",
            "fax_number": "573-884-4607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5301 Faraon St Ste 160",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063829",
            "country_code": "US",
            "telephone_number": "816-671-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIAW",
        "first_name": "JEFFREY",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101278013",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2022009912",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912438086",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017647960001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.