DR. ANNIE LIU (DO) – Nephrology Physician, NPI 1114486016

DR. ANNIE LIU (DO) is a healthcare provider. based in Portland, Maine. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 1020370 (MA). The NPI Number for DR. ANNIE LIU (DO) is 1114486016

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANNIE LIU (DO)
NPI
1114486016
Phone
(207) 662-0111
Address
22 BRAMHALL ST
Enumeration Date
19 March 2019
Last Update Date
27 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6179715766
Graduation Year
2019 (7 years ago)
PAC ID
8527396571
Group Practice PAC ID
2062774177
Professional Enrollment ID
I20250605001400
Address ID
MA021311000RO1200XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

60 NEPHROLOGY in ME

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Provider Addresses for DR. ANNIE LIU (DO)

  • Maine Medical Center, 22, Bramhall Street, West End, Portland, Cumberland County, Maine, 04102, United States

    PORTLAND, ME 041023175

    Phone: (207) 662-0111

    Type: Mailing

  • 22 Bramhall St

    Portland, ME 041023175

    Phone: (207) 662-0111

    Type: Location

  • 75 FRANCIS ST

    BOSTON, MA 021156110

    Phone:

    Type: Mailing

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: 2025-06-05

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
I20250605001400INephrologyMATBD

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 04102)

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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: 2062774177View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. ANNIE LIU (DO) across health systems?
The NPI 1114486016 uniquely identifies DR. ANNIE LIU (DO) in U.S. healthcare data.
Should I treat DR. ANNIE LIU (DO) as an active provider?
Patients and plans typically see DR. ANNIE LIU (DO) as active in the national extract.
Which specialty label fits DR. ANNIE LIU (DO)?
NPPES ties DR. ANNIE LIU (DO) to Nephrology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. ANNIE LIU (DO) tied to Portland, Maine?
If you are local to Portland, Maine, DR. ANNIE LIU (DO) may be relevant to your search.
Who maintains DR. ANNIE LIU (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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