NPIMap

Individual provider Active NPI

Tzu-Shang Thomas Liu, MD PHD

  • Orthopaedic Surgery Physician
  • Apple Valley, CA
National Provider Identifier
1922201318
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A112382 Issued in CA
Practice address
16008 Kamana Rd
Suite 100
Apple Valley, CA 92307-1308
Phone
(760) 956-5200
Fax
(760) 669-0793
NPI assigned
Jun 6, 2007
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MT181933 PA
Orthopaedic Surgery Physician 207X00000X A112382 CA Primary

Addresses

Primary practice location

16008 Kamana Rd
Suite 100
Apple Valley, CA 92307-1308

Mailing address

12277 Apple Valley Rd
#288
Apple Valley, CA 92308-1701
Phone (760) 956-5200

Other names 1

  • Dr. Thomas Liu Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000443 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 0345432522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Perelman School of Med at the University of Pennsylvania, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Bone and Joint Clinic IncGroup PAC ID 3870771769, 2 clinicians
Barstow Primary Care ClinicGroup PAC ID 7719105774, 6 clinicians

Practice addresses (Care Compare)

16008 Kamana Rd
Suite 100
Apple Valley, CA 92307-1376
Phone (760) 956-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.64 of 100Reported as individual
Quality
78.66
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement11
Lower limb (leg) arthroscopy (minimally invasive joint repair)12
Upper limb (arm) arthroscopy (minimally invasive joint repair)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A112382CAMDOrthopaedic Surgery Physician
MT181933PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barstow Primary Care Clinic CurrentSince Mar 1, 2026 Accepting new patients
St. Mary's Regional Medical Center Past Accepting new patients
Bryan a. Gunnoe, MD, Inc. Past Accepting new patients
St. Mary Medical Center Past Accepting new patients

Locations

16008 Kamana Rd
Ste 100
Apple Valley, CA 92307
Phone (760) 956-0793

805 E Mountain View St
Barstow, CA 92311
Phone (760) 256-5026

12567 Hesperia Rd
Victorville, CA 92395
Phone (760) 241-7754

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7705/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tliu115@yourcarecommunity.org
  • Direct secure messaging: tzu-shang.liu.1@8216.direct.athenahealth.com

Organizations & group practices 5

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 7

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1922201318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12277 APPLE VALLEY RD",
            "address_2": "#288",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923081701",
            "telephone_number": "760-956-5200",
            "fax_number": "760-669-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16008 KAMANA RD",
            "address_2": "SUITE 100",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071308",
            "telephone_number": "760-956-5200",
            "fax_number": "760-669-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "TZU-SHANG",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MT181933",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A112382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "LIU",
            "prefix": "DR.",
            "credential": "MD PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.