Active NPI
Clarissa Liew, MD
- Clinical Neurophysiology Physician
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- 036144422
- Practice address
- 101 W University Ave
Champaign, IL 61820-3981 - Phone
- (217) 366-1266
- NPI assigned
- Sep 7, 2007
- Last updated
- Jan 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | 036144422 | IL | Primary |
Addresses
Primary practice location
101 W University Ave
Champaign, IL 61820-3981
Mailing address
101 W University Ave
Champaign, IL 61820-3981
Phone (217) 366-1266
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cliewmd259290@CarleHieDirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 W University Ave
Champaign, IL 61820-3909
Phone (217) 366-1200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Medical Group | Current | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Christie Clinic, PLLC | Current | Accepting new patients |
Locations
101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255
1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684
721 E Court St
Paris, IL 61944
Phone (217) 465-4141
727 E Court St
Paris, IL 61944
Phone (217) 465-4141
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- cliewmd259290@carlehiedirect.net
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.
-
- Internal Medicine Physician
- Champaign, IL
- NPI 1871523829
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
dba Paris Community Hospital
- Critical Access Hospital
- Paris, IL
- NPI 1679502322
-
dba Chrisman Clinic
- Rural Health Clinic/Center
- Chrisman, IL
- NPI 1447314653
-
dba Horizon Health
- Clinic/Center
- Paris, IL
- NPI 1629280367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1942495494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W UNIVERSITY AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203981",
"telephone_number": "217-366-1266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W UNIVERSITY AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203981",
"telephone_number": "217-366-1266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEW",
"first_name": "CLARISSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "IL",
"license": "036144422",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cliewmd259290@CarleHieDirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "101 W University Ave",
"city": "Champaign",
"state": "IL",
"country_code": "US",
"postal_code": "618203981",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Champaign, IL
- LHCG Xxxvii, LLC (LHC-Illinois Home Health Care)
- Paul K Li, MD
- Charles C Liang, DO
- Jennifer Lieb, NP
- Leeann Lietz
- Life Bridge Therapy
- Lifetime Dental Care of Illinois, PC (Champaign Dental Group)
- Lifetime Dental Care of Illinois, PC (Baytowne Dental Center)
- Domica Shanta Light
- Christopher Todd Lighty, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.