Active NPI
Xiaolong Sean Liu, MD
- Anatomic Pathology & Clinical Pathology Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME128535
- Practice address
- 6500 W Newberry Rd
Gainesville, FL 32605 - Phone
- (352) 333-4955
- Fax
- (352) 333-4284
- NPI assigned
- Dec 27, 2005
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | MD20050608 | NM | |
| Hematology (Pathology) Physician | 207ZH0000X | MD20050608 | NM | |
| Immunopathology Physician | 207ZI0100X | MD20050608 | NM | |
| Anatomic Pathology Physician | 207ZP0101X | MD20050608 | NM | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME128535 | FL | Primary |
Addresses
Primary practice location
6500 W Newberry Rd
Gainesville, FL 32605
Mailing address
PO Box 741087
Atlanta, GA 30384-1087
Phone (352) 333-4955
Other practice location 1
800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (561) 955-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52837 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Pathology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6500 W Newberry Rd
Gainesville, FL 32605-4309
Phone (352) 333-4955
Hospital & facility affiliations
- HCA Florida North Florida Hospital
- HCA Florida Lake City Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20050608 | NM | MD | Hematology (Pathology) Physician |
| ME128535 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Regional Laboratories Pathology Services, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Atlantis, FL
- NPI 1942526298
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1174579155
-
- General Acute Care Hospital
- Lake City, FL
- NPI 1992751879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1992782403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741087",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303841087",
"telephone_number": "352-333-4955",
"fax_number": "352-333-4284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 W NEWBERRY RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32605",
"telephone_number": "352-333-4955",
"fax_number": "352-333-4284"
}
],
"practiceLocations": [
{
"address_1": "800 Meadows Rd",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334862304",
"country_code": "US",
"telephone_number": "561-955-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "XIAOLONG",
"middle_name": "SEAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "NM",
"license": "MD20050608",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "NM",
"license": "MD20050608",
"primary": false
},
{
"code": "207ZI0100X",
"taxonomy_group": "",
"desc": "Pathology, Immunopathology",
"state": "NM",
"license": "MD20050608",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NM",
"license": "MD20050608",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME128535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52837",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.