Individual provider Active NPI

Nancy Wenchin Liu, MD

  • Internal Medicine Physician
  • Kettering, OH
National Provider Identifier
1992706816
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35073071L Issued in OH
Practice address
5250 Far Hills Ave
Suite 250
Kettering, OH 45429-2382
Phone
(937) 262-7932
Fax
(937) 262-7418
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35073071L OH Primary

Addresses

Primary practice location

5250 Far Hills Ave
Suite 250
Kettering, OH 45429-2382

Mailing address

5250 Far Hills Ave
Suite 250
Kettering, OH 45429-2382
Phone (937) 262-7932

Other identifiers 2

IdentifierTypeStateIssuer
000000234839OtherOHANTHEM
331006556001OtherOHMEDICAL MUTUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000353 OH Practitioner - Internal Medicine 9133153703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5250 Far Hills Ave
Suite 250
Kettering, OH 45429-2353
Phone (937) 262-7932

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35073071LOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pham & Liu LLC Internal Medicine CurrentSince May 29, 2002 Accepting new patients

Locations

5563 Far Hills Ave
Kettering, OH 45429
Phone (937) 291-2300

5250 Far Hills Ave
Ste 250
Kettering, OH 45429
Phone (937) 262-7932

Interoperability endpoints

  • Direct secure messaging: nancy.liu.1@14486.direct.athenahealth.com

Organizations & group practices 1

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 5

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1992706816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 FAR HILLS AVE",
            "address_2": "SUITE 250",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292382",
            "telephone_number": "937-262-7932",
            "fax_number": "937-262-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 FAR HILLS AVE",
            "address_2": "SUITE 250",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292382",
            "telephone_number": "937-262-7932",
            "fax_number": "937-262-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "NANCY",
        "middle_name": "WENCHIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073071L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000234839",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "331006556001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.