DR. ROBERT ADAM LIOTTA (M.D.) – Diagnostic Radiology Physician, NPI 1114903549

DR. ROBERT ADAM LIOTTA (M.D.) is a healthcare provider. based in Ann arbor, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101233156 (VA). The NPI Number for DR. ROBERT ADAM LIOTTA (M.D.) is 1114903549

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT ADAM LIOTTA (M.D.)
NPI
1114903549
Phone
(734) 936-2047
Address
3621 S STATE ST
Enumeration Date
18 December 2005
Last Update Date
10 June 2011

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
1557545324
Group Practice PAC ID
8729990239
Professional Enrollment ID
I20220314000055
Address ID
PA152321304PI5230XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,649 DIAGNOSTIC RADIOLOGY in MI

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Provider Addresses for DR. ROBERT ADAM LIOTTA (M.D.)

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    700 KMS PLACE

    ANN ARBOR, MI 48108

    Phone: (734) 936-2047

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    B1 FLOOR UNIVERSITY HOSPITAL RECP C

    ANN ARBOR, MI 481095030

    Phone: (734) 936-4566

    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: 2022-03-14

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
I20220314000055IDiagnostic RadiologyPATBD

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
71045X-ray of chest, 1 view7067$0
71275Ct scan of blood vessels of chest with contrast2828$0
71250Ct scan of chest without contrast2424$0
71260Ct scan of chest with contrast1716$0
71046X-ray of chest, 2 views1616$0
View full utilization report →

Insurance plans in this area (ZIP 48108)

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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: 8729990239View full group profile
NameSpecialtyState
Anesthesiology, Critical Care (Intensivists)PA
-PA
-PA
Cardiac Surgery, General SurgeryPA
Nurse PractitionerPA
-PA
-MD
-SC
-PA
-PA

Reviews

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Frequently asked questions

How do I look up DR. ROBERT ADAM LIOTTA (M.D.) by NPI?
Use NPI 1114903549 when you need to reference DR. ROBERT ADAM LIOTTA (M.D.) in forms, claims, or directories.
Does this profile mean DR. ROBERT ADAM LIOTTA (M.D.) is currently active?
Yes — DR. ROBERT ADAM LIOTTA (M.D.) appears active in the national provider directory.
Does DR. ROBERT ADAM LIOTTA (M.D.) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for DR. ROBERT ADAM LIOTTA (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. ROBERT ADAM LIOTTA (M.D.)'s primary listing?
We display Ann Arbor, Michigan because that is what the record indicates for DR. ROBERT ADAM LIOTTA (M.D.).
What if Ann Arbor, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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