CORINNA LIU (D.O.) – Gynecologic Oncology Physician, NPI 1083972426

CORINNA LIU (D.O.) is a healthcare provider. based in Fresno, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. 20A13154 (CA). The NPI Number for CORINNA LIU (D.O.) is 1083972426

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CORINNA LIU (D.O.)
NPI
1083972426
Phone
(559) 443-2682
Address
2625 E DIVISADERO ST
Enumeration Date
23 April 2012
Last Update Date
13 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5594868888
Graduation Year
2016 (10 years ago)
PAC ID
9133408248
Group Practice PAC ID
4082606009
Professional Enrollment ID
I20161114000739
Address ID
CA937012184FR2210XAVEX410
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

Provider Addresses for CORINNA LIU (D.O.)

  • 2625 E DIVISADERO ST

    FRESNO, CA 937211431

    Phone: (559) 443-2682

    Type: Mailing

  • 290 N WAYTE LN

    FRESNO, CA 937012124

    Phone: (559) 459-5755

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($72).

Total Amount

$147

General + Research + Ownership

Payments

16

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-11-14

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
I20161114000739IObstetrics/GynecologyCATBD

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 93721)

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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: 4082606009View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA

Reviews

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Frequently asked questions

Is there an official ID for CORINNA LIU (D.O.) in U.S. healthcare records?
The official identifier for CORINNA LIU (D.O.) is NPI 1083972426.
Is there an active status for CORINNA LIU (D.O.)?
For scheduling context, CORINNA LIU (D.O.) is shown as active in the registry.
What clinical focus is listed for CORINNA LIU (D.O.)?
At a glance, CORINNA LIU (D.O.) is tied to Gynecologic Oncology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CORINNA LIU (D.O.)?
Directory geography for CORINNA LIU (D.O.) centers on Fresno, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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