IVAN E LIANG (M.D.) – Emergency Medicine Physician, NPI 1407814908

IVAN E LIANG (M.D.) is a healthcare provider. based in Jamaica plain, Massachusetts. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 217627 (MA). The NPI Number for IVAN E LIANG (M.D.) is 1407814908

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
IVAN E LIANG (M.D.)
NPI
1407814908
Phone
(617) 789-2666
Address
58 ROCKVIEW ST
Enumeration Date
3 May 2006
Last Update Date
6 November 2014

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
5303327330
Graduation Year
2000 (26 years ago)
PAC ID
7113969916
Group Practice PAC ID
0345277349
Professional Enrollment ID
I20090908000453
Address ID
CA959263310CH1531XESPL200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,682 EMERGENCY MEDICINE in MA

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Provider Addresses for IVAN E LIANG (M.D.)

  • 58, Rockview Street, Jamaica Plain, Boston, Suffolk County, Massachusetts, 02130, United States

    APT 1

    JAMAICA PLAIN, MA 021302112

    Phone: (617) 789-2666

    Type: Mailing

  • St. Elizabeth's Medical Center, 736, Cambridge Street, Aberdeen, Brighton, Boston, Suffolk County, Massachusetts, 02135, United States

    CARITAS ST. ELIZABETH'S MEDICAL CENTER

    BRIGHTON, MA 02135

    Phone: (617) 789-2666

    Type: Location

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: 2009-09-08

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
I20090908000453IEmergency 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making220217$0
99284Emergency department visit with moderate level of medical decision making6363$0
99291Critical care, first 30-74 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 02130)

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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: 0345277349View full group profile
NameSpecialtyState
Emergency MedicineMS
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicinePA
Emergency MedicineCA

Reviews

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Frequently asked questions

What is the standard ID for IVAN E LIANG (M.D.) in the U.S.?
In the U.S., IVAN E LIANG (M.D.) is identified by NPI 1407814908.
Does the public listing show IVAN E LIANG (M.D.) as active?
IVAN E LIANG (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits IVAN E LIANG (M.D.)?
NPPES ties IVAN E LIANG (M.D.) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is IVAN E LIANG (M.D.) tied to Jamaica Plain, Massachusetts?
If you are local to Jamaica Plain, Massachusetts, IVAN E LIANG (M.D.) may be relevant to your search.
Who maintains IVAN E LIANG (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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