Active NPI
Kailin Lieu
- Pediatrics Physician
- Bethesda, MD
National Provider Identifier
1952765190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD466879
- Practice address
- 7700 Old Georgetown Rd FL 4
Bethesda, MD 20814-6224 - Phone
- (240) 482-3200
- NPI assigned
- Apr 13, 2016
- Last updated
- Mar 2, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | MD466879 | PA | Primary |
| Pediatric Hematology & Oncology Physician | 2080P0207X | MD466879 | PA |
Addresses
Primary practice location
7700 Old Georgetown Rd FL 4
Bethesda, MD 20814-6224
Mailing address
7700 Old Georgetown Rd FL 4
Bethesda, MD 20814-6224
Phone (240) 482-3200
Other practice location 1
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-1000
Other practice location 2
111 Michigan Ave NW
Washington, DC 20010-2916
Phone (202) 476-3670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD466879 | PA | MD | Pediatric Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709337600000",
"number": "1952765190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 OLD GEORGETOWN RD FL 4",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208146224",
"telephone_number": "240-482-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 OLD GEORGETOWN RD FL 4",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208146224",
"telephone_number": "240-482-3200"
}
],
"practiceLocations": [
{
"address_1": "3401 Civic Center Blvd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044319",
"country_code": "US",
"telephone_number": "215-590-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Michigan Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200102916",
"country_code": "US",
"telephone_number": "202-476-3670",
"fax_number": "202-476-4741",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIEU",
"first_name": "KAILIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-13",
"last_updated": "2024-03-02",
"certification_date": "2024-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD466879",
"primary": true
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "PA",
"license": "MD466879",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.