Active NPI
Mark Liu, M.D.
- Anesthesiology Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- DR.0067155
- Practice address
- 1400 E Boulder St Ste 2508
Colorado Springs, CO 80909-5533 - Phone
- (719) 365-6999
- Fax
- (719) 365-2837
- NPI assigned
- Jun 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25910 | NE | |
| General Practice Physician | 208D00000X | 25910 | NE | |
| Anesthesiology Physician | 207L00000X | DR.0067155 | CO | Primary |
Addresses
Primary practice location
1400 E Boulder St Ste 2508
Colorado Springs, CO 80909-5533
Mailing address
10TH MDG
4102 Pinion Dr
Usaf Academy, CO 80840
Phone (719) 333-5254
Other practice location 1
1100 Wilford Hall Loop
San Antonio, TX 78236-5638
Phone (210) 916-8666
Other practice location 2
3551 Roger Brooke Dr
San Antonio, TX 78234-4501
Phone (210) 916-8666
Other practice location 3
10th MDG
3102 Pinion Dr
USAF Academy, CO 80840
Phone (719) 333-5254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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
- Anesthesiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 E Boulder St
Suite 2508
Colorado Springs, CO 80909-5533
Phone (719) 365-6999
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0067155 | CO | MD | Anesthesiology Physician |
| 25910 | NE | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | General Practice | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Anesthesiology | Current | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
1400 E Boulder St
Ste 1183
Colorado Springs, CO 80909
Phone (719) 365-6999
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
1400 E Boulder St
Ste 2508
Colorado Springs, CO 80909
Phone (719) 365-1292
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
58 Club Manor Dr
Pueblo, CO 81008
Phone (719) 584-4045
1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760
400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000
Organizations & group practices 2
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.
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
Anesthesiology
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1184263527
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1376183145
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1417596834
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1427689652
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1104881507
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1134751712
-
- General Acute Care Hospital
- Pueblo West, CO
- NPI 1821720681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1952539470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10TH MDG",
"address_2": "4102 PINION DR",
"city": "USAF ACADEMY",
"state": "CO",
"postal_code": "80840",
"telephone_number": "719-333-5254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E BOULDER ST STE 2508",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095533",
"telephone_number": "719-365-6999",
"fax_number": "719-365-2837"
}
],
"practiceLocations": [
{
"address_1": "1100 Wilford Hall Loop",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782365638",
"country_code": "US",
"telephone_number": "210-916-8666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3551 Roger Brooke Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782344501",
"country_code": "US",
"telephone_number": "210-916-8666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10th MDG",
"address_2": "3102 Pinion Dr",
"address_purpose": "LOCATION",
"city": "USAF Academy",
"state": "CO",
"postal_code": "80840",
"country_code": "US",
"telephone_number": "719-333-5254",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-23",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NE",
"license": "25910",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "25910",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "DR.0067155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.