DAVID M K I LIU (MD, PHD) – Internal Medicine Physician, NPI 1700975976

DAVID M K I LIU (MD, PHD) is a healthcare provider. based in South lake tahoe, California. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials MD, PHD. They hold a License No. C56003 (CA). The NPI Number for DAVID M K I LIU (MD, PHD) is 1700975976

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DAVID M K I LIU (MD, PHD)
NPI
1700975976
Phone
(530) 543-5659
Address
1111 EMERALD BAY RD
Enumeration Date
12 October 2006
Last Update Date
3 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2133807298
Graduation Year
2002 (24 years ago)
PAC ID
5799851226
Group Practice PAC ID
3072619618
Professional Enrollment ID
I20160105002100
Address ID
CA900264656LO150XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for DAVID M K I LIU (MD, PHD)

  • 1111, Emerald Bay Road, Tahoe Valley, South Lake Tahoe, El Dorado County, California, 96150, United States

    SOUTH LAKE TAHOE, CA 961506207

    Phone: (530) 543-5659

    Fax: (530) 541-8723

    Type: Mailing

  • South Lake Tahoe, El Dorado County, California, United States

    SOUTH LAKE TAHOE, CA 961507025

    Phone: (530) 543-5623

    Fax: (530) 541-5738

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $152.

Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Medtronic, Inc. ($130).

Total Amount

$152

General + Research + Ownership

Payments

2

Total payment records

General Amount

$152

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

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: 2013-02-13

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
I20130213000412IInternal MedicineCATBD

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 96150)

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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: 3072619618View full group profile
NameSpecialtyState
Nurse PractitionerCA
Clinical Social WorkerCA
-CA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Internal MedicineCA
P O D I A T R YFL
Family PracticeCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What federal number belongs to DAVID M K I LIU (MD, PHD)?
The federal identifier for DAVID M K I LIU (MD, PHD) is NPI 1700975976.
Is DAVID M K I LIU (MD, PHD) currently active in the NPI registry?
CMS-published data lists DAVID M K I LIU (MD, PHD) as an active registrant.
What field does DAVID M K I LIU (MD, PHD) work in?
You can think of DAVID M K I LIU (MD, PHD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DAVID M K I LIU (MD, PHD)'s primary listing?
We display South Lake Tahoe, California because that is what the record indicates for DAVID M K I LIU (MD, PHD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.