ELISE LIU (M.D.) – Allergy & Immunology Physician, NPI 1447661061

Allergy & Immunology Physician

ELISE LIU (M.D.) is a healthcare provider. based in North haven, Connecticut. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials M.D.. They hold a License No. 70419 (CT). The NPI Number for ELISE LIU (M.D.) is 1447661061

Main info

Female

Sole Proprietor

12 Years Of Experience

Accepts Medicare Assignment

Name

ELISE LIU (M.D.)

NPI

1447661061

Phone

(203) 843-2149

Address

6 DEVINE ST STE 2B

Enumeration Date

16 May 2014

Last Update Date

9 June 2022

Doctor Profile

Medical School Name

YALE UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

2032876100

Graduation Year

2014 (12 years ago)

PAC ID

6204148034

Group Practice PAC ID

9436061736

Professional Enrollment ID

I20220720003632

Address ID

CT064732195NO6XXXXSTXX300

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience53

Completeness75

Years active:12State licenses:1Digital endpointsOther names

71 ALLERGY/IMMUNOLOGY in CT

Provider Addresses for ELISE LIU (M.D.)

6 DEVINE ST STE 2B
NORTH HAVEN, CT 064732222
Phone: (203) 843-2149
Type: Mailing
20 YORK ST
PO BOX 20802
NEW HAVEN, CT 065103220
Phone: (203) 785-4123
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2022-07-20

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20220720003632	I	Allergy/Immunology	CT	TBD

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 06473)

Loading plans...

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: 9436061736View full group profile

Name	Specialty	State
DR. BRIAN CHRISTOPHER CAMBI (M.D.)	Interventional Cardiology, Cardiovascular Disease (Cardiology)	CT
FRANCESCA MONTANARI (MD)	H E M A T O L O G Y/ O N C O L O G Y	CT
MS. MARYAM GONDAL (M.D.)	Internal Medicine, Nephrology	SC
MATTHEW JOSEPH MCCONNELL (M.D.)	-	CT
DR. DANICE KURUVILLA (M.D.)	-	NC
JEANETTE M TETRAULT (MD)	Internal Medicine	CT
LOUIS WANG (MD)	-	CT
DR. PRAMOD BONDE (MD)	Cardiac Surgery	CT
DR. LUMING LI (MD)	-	CT
Unknown Individual	-	CT