DR. DAVID DONGJIE LIU (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1720073349

DR. DAVID DONGJIE LIU (M.D.) is a healthcare provider. based in Little rock, Arkansas. specializing in GERIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. E-2195 (AR). The NPI Number for DR. DAVID DONGJIE LIU (M.D.) is 1720073349

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID DONGJIE LIU (M.D.)
NPI
1720073349
Phone
(501) 552-4777
Address
1 St Vincent Cir
Enumeration Date
20 September 2005
Last Update Date
12 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5048425300
Graduation Year
1984 (42 years ago)
PAC ID
3274579917
Group Practice PAC ID
8224933619
Professional Enrollment ID
I20250428002409
Address ID
LA701156969NE2820XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

38 GERIATRIC MEDICINE in AR

Provider Addresses for DR. DAVID DONGJIE LIU (M.D.)

  • 1 St Vincent Cir

    SUITE 210

    Little Rock, AR 722055405

    Phone: (501) 552-4777

    Fax: (501) 552-4570

    Type: Location

  • University of Arkansas Law School, McMath Avenue, Little Rock, Pulaski County, Arkansas, 72202, United States

    SUITE 201

    LITTLE ROCK, AR 72205

    Phone: (501) 224-1690

    Fax: (501) 224-1927

    Type: Mailing

  • CHI St. Vincent Parkview Building, 1, Saint Vincent Circle, University Park, Little Rock, Big Rock Township, Pulaski County, Arkansas, 72205, United States

    SUITE 210

    LITTLE ROCK, AR 722055405

    Phone: (501) 552-4777

    Fax: (501) 552-4570

    Type: Location

  • PO BOX 22389

    PMB 82739

    NASHVILLE, TN 37202

    Phone: (866) 315-2626

    Type: Mailing

  • 410 S UNIVERSITY AVE # 160

    LITTLE ROCK, AR 722055246

    Phone: (501) 255-2482

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250428002409IGeriatric MedicineLATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224933619View full group profile
NameSpecialtyState
-LA
O P T O M E T R YLA
Cardiovascular Disease (Cardiology), Internal MedicinePA
-LA
N E U R O L O G YLA
Nurse PractitionerLA
Family PracticeCO
Nurse PractitionerLA
U R O L O G YLA
N E U R O L O G YLA

Reviews

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Frequently asked questions

How do payers reference DR. DAVID DONGJIE LIU (M.D.)?
For DR. DAVID DONGJIE LIU (M.D.), use NPI 1720073349 as the unique 10-digit identifier.
Is DR. DAVID DONGJIE LIU (M.D.) shown as active in public data?
Registry records indicate DR. DAVID DONGJIE LIU (M.D.) maintains an active NPI.
How would a patient describe DR. DAVID DONGJIE LIU (M.D.)'s focus?
For DR. DAVID DONGJIE LIU (M.D.), the primary taxonomy reads as Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DAVID DONGJIE LIU (M.D.)?
Directory geography for DR. DAVID DONGJIE LIU (M.D.) centers on Little Rock, Arkansas.
Does DR. DAVID DONGJIE LIU (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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