Siwen Liu, D.O.
Individual provider Active NPI Surgery Physician · Baldwin, WI
NPI 1972037158 · NPPES record last updated Dec 29, 2023
Key facts
- NPI
- 1972037158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 81075 (WI)
- Practice address
- 1100 Bergslien St
Baldwin, WI 54002-2600 - Phone
- (715) 684-1111
- Fax
- (715) 684-1119
- NPI assigned
- Apr 14, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baldwin Area Medical Center Inc
Practice addresses (Care Compare)
1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1555
Hospital & facility affiliations
- Western Wisconsin Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230801002674 | WI | Practitioner - General Surgery | 0941661391 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Physicians, S.C. | Current | Accepting new patients | |
| Hudson Physicians, S.C. | Surgery | Current |
Accepting new patients |
| Baldwin Area Medical Center Inc. | Current |
Accepting new patients | |
| Baldwin Area Medical Center, Inc. | Current | Accepting new patients | |
| Baldwin Area Medical Center, Inc. | Current |
Accepting new patients | |
| Hudson Physicians, S.C. | Past | Accepting new patients |
Locations
1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111
2651 Hillcrest Dr
Ste 303
Hudson, WI 54016
2651 Hillcrest Dr
Hudson, WI 54016
Phone (630) 632-2648
525 N Knowles Ave
#100
New Richmond, WI 54017
Interoperability endpoints
- wliu627954@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 81075 | WI | Yes |
Addresses
Primary practice location
1100 Bergslien St
Baldwin, WI 54002-2600
Mailing address
1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1111
Other practice location 1
2601 E Roosevelt St
Maricopa Integrated Health System
Phoenix, AZ 85008-4973
Phone (602) 344-5445
Other practice location 2
100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000
Other names
- Wendy Liu
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wliu627954@excellian.direct.allina.com | Direct |
Other providers in Baldwin, WI
- Carissa Kusilek
- Kheng Joe Lau
- Christine Lawrenz
- Becky J Lease
- Linda Jean Lindquist
- Brandon Lorrig
- Nichole Mattison
- Joana McClelland
- Kimberly K McDonald
- Mediverse Health & Wellness LLC
All providers in Baldwin, WI · Surgery Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.