SEBAN LIU (D.O.) – Cardiovascular Disease Physician, NPI 1174904304

SEBAN LIU (D.O.) is a healthcare provider. based in Bourbonnais, Illinois. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials D.O.. They hold a License No. 036157303 (IL). The NPI Number for SEBAN LIU (D.O.) is 1174904304

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
SEBAN LIU (D.O.)
NPI
1174904304
Phone
(844) 404-4787
Address
400 Riverside Dr Ste 1600
Enumeration Date
12 June 2015
Last Update Date
30 July 2021

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
8444044787
Graduation Year
2015 (11 years ago)
PAC ID
8729359856
Group Practice PAC ID
3274434717
Professional Enrollment ID
I20210813001686
Address ID
IL609012942KA500XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL

Provider Addresses for SEBAN LIU (D.O.)

  • 400 Riverside Dr Ste 1600

    Bourbonnais, IL 609145406

    Phone: (844) 404-4787

    Fax: (815) 936-3243

    Type: Location

  • 350 N WALL ST

    KANKAKEE, IL 609012901

    Phone: (815) 928-6274

    Type: Mailing

  • 500 N WALL ST

    KANKAKEE, IL 609012942

    Phone: (844) 404-4787

    Fax: (815) 936-3243

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 184 Open Payments records for all available years, with a total value of $3,757.

Total Amount is formed as General ($3,757) + Research ($0) + Ownership ($0) = $3,757.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($566).

Total Amount

$3,757

General + Research + Ownership

Payments

184

Total payment records

General Amount

$3,757

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2021-08-13

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
I20210813001686ICardiovascular Disease (Cardiology)ILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only830613$0
99214Established patient office or other outpatient visit, 30-39 minutes714301$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes308108$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function217212$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing111101$0
View full utilization report →

Insurance plans in this area (ZIP 60914)

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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: 3274434717View full group profile
NameSpecialtyState
Nurse PractitionerIL
N E U R O L O G YIL
Physician AssistantIL
-IL
-IL
-IL
Internal MedicineIL
Nurse PractitionerIL
Family PracticeIL
N E U R O L O G YNY

Reviews

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Frequently asked questions

Can I use this page to confirm SEBAN LIU (D.O.)'s NPI?
Yes. SEBAN LIU (D.O.) is listed with NPI 1174904304 in the public NPI dataset.
Does CMS list SEBAN LIU (D.O.) as active?
Yes — SEBAN LIU (D.O.) is active in the NPI listing used on this page.
What is SEBAN LIU (D.O.) best known for clinically?
Directory data describes SEBAN LIU (D.O.) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SEBAN LIU (D.O.)?
SEBAN LIU (D.O.)'s geographic hint is Bourbonnais, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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