NPIMap

Individual provider Active NPI

Kelly Dennis Liu, M.D.

  • Hospitalist Physician
  • Brooklyn, NY
National Provider Identifier
1982896361
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD60335778 Issued in WA
Practice address
640 Carroll St
Apt B7
Brooklyn, NY 11215-2064
Phone
(917) 843-3696
NPI assigned
Aug 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60335778 WA
Hospitalist Physician 208M00000X MD60335778 WA Primary
Internal Medicine Physician 207R00000X D72514 MD

Addresses

Primary practice location

640 Carroll St
Apt B7
Brooklyn, NY 11215-2064

Mailing address

1717 S J St
Tacoma, WA 98405-4933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20131205001100 WA Practitioner - HospitalistPractitioner - Internal Medicine 6507037843 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Virginia Mason Medical CenterGroup PAC ID 9830002617, 867 clinicians

Practice addresses (Care Compare)

1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-1000

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000

925 Seneca St
Seattle, WA 98101-2742
Phone (206) 223-6600

Hospital & facility affiliations

  • Virginia Mason Medical Center Hospital, Seattle, WA, CCN 500005
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Highline Medical Center Hospital, Burien, WA, CCN 500011
  • St Clare Hospital Hospital, Lakewood, WA, CCN 500021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60335778WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Internal Medicine CurrentSince Jul 20, 2020 Accepting new patients
Franciscan Medical Group Internal Medicine CurrentSince Jul 20, 2020 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Virginia Mason Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Virginia Mason Medical Center Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Sep 4, 2018 Accepting new patients
Franciscan Medical Group Current Accepting new patients
South Sound Inpatient Physicians, PLLC Internal Medicine CurrentSince Sep 4, 2018 Accepting new patients
Franciscan Health System Past Accepting new patients
Multicare Health System Past Accepting new patients
Upmc Western Maryland Health Services, LLC Internal Medicine Past Accepting new patients

Locations

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Interoperability endpoints

  • Direct secure messaging: kliu110105@fhsce.catholichealth.net

Organizations & group practices 12

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.

Hospital & facility affiliations 8

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1982896361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S J ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 CARROLL ST",
            "address_2": "APT B7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152064",
            "telephone_number": "917-843-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "KELLY",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60335778",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD60335778",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D72514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.