DALE K. LIEU (MD) – Infectious Disease Physician, NPI 1003964099

DALE K. LIEU (MD) is a healthcare provider. based in San diego, California. specializing in HOSPITALIST, INFECTIOUS DISEASE. They hold the professional credentials MD. They hold a License No. G55261 (CA). The NPI Number for DALE K. LIEU (MD) is 1003964099

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DALE K. LIEU (MD)
NPI
1003964099
Phone
(619) 528-5000
Address
4647 ZION AVE
Enumeration Date
8 January 2007
Last Update Date
30 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
6195285000
Graduation Year
1984 (42 years ago)
PAC ID
8022189901
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20080619000797
Address ID
CA921202507SA4647XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,299 HOSPITALIST in CA

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Provider Addresses for DALE K. LIEU (MD)

  • Kaiser Permanente Zion Medical Center, 4647, Zion Avenue, Grantville, Allied Gardens, San Diego, San Diego County, California, 92120, United States

    SAN DIEGO, CA 921202507

    Phone: (619) 528-5000

    Mailing address matches the actual address.

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: 2008-06-19

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
I20080619000797IHospitalistCATBD

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 92120)

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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: 6002729175View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineCA
U R O L O G YOH
O T O L A R Y N G O L O G YCA
Nurse PractitionerCA
Internal MedicineCA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA
-CA
Family PracticeCA
-CA

Reviews

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Frequently asked questions

How do I look up DALE K. LIEU (MD) by NPI?
Use NPI 1003964099 when you need to reference DALE K. LIEU (MD) in forms, claims, or directories.
Is DALE K. LIEU (MD) active in the national directory?
DALE K. LIEU (MD)'s public NPI profile is in an active state.
What kind of provider is DALE K. LIEU (MD)?
The page reflects Infectious Disease Physician for DALE K. LIEU (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DALE K. LIEU (MD)?
The snapshot lists San Diego, California for DALE K. LIEU (MD); download NPPES for the complete set.
What if San Diego, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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