MILLIE LIAO (DO) – Vascular & Interventional Radiology Physician, NPI 1609372085

MILLIE LIAO (DO) is a healthcare provider. based in Saint louis, Missouri. specializing in INTERVENTIONAL RADIOLOGY. They hold the professional credentials DO. They hold a License No. 2024017648 (MO). The NPI Number for MILLIE LIAO (DO) is 1609372085

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MILLIE LIAO (DO)
NPI
1609372085
Phone
Not provided
Address
3691 RUTGER ST
Enumeration Date
4 April 2018
Last Update Date
16 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3146172000
Graduation Year
2018 (8 years ago)
PAC ID
5193262129
Group Practice PAC ID
0143608372
Professional Enrollment ID
I20240807003530
Address ID
MO631041016SA1201XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

847 INTERVENTIONAL RADIOLOGY in CA

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Provider Addresses for MILLIE LIAO (DO)

  • 3691 RUTGER ST

    SAINT LOUIS, MO 631102515

    Phone:

    Type: Mailing

  • Loma Linda University Medical Center, 11234, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States

    LOMA LINDA, CA 923542804

    Phone: (909) 558-4000

    Type: Location

  • 5110 ACACIA ST

    SAN GABRIEL, CA 917762105

    Phone:

    Type: Mailing

  • 1201 S GRAND BLVD

    SAINT LOUIS, MO 631041016

    Phone: (314) 977-5782

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 81 Open Payments records for all available years, with a total value of $8,785.

Total Amount is formed as General ($8,785) + Research ($0) + Ownership ($0) = $8,785.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($3,112).

Total Amount

$8,785

General + Research + Ownership

Payments

81

Total payment records

General Amount

$8,785

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

Top Companies

Largest payers in this snapshot

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: 2024-08-07

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
I20240807003530IInterventional RadiologyMOTBD

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 63110)

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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: 0143608372View full group profile
NameSpecialtyState
Anesthesiology AssistantMO
Pediatric Medicine, Hematology/OncologyTN
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)MO
Pediatric MedicineIL
G A S T R O E N T E R O L O G YWV
Pediatric Medicine, Cardiovascular Disease (Cardiology)MO
Infectious DiseaseOH
Physician AssistantMO
Pediatric Medicine, Cardiovascular Disease (Cardiology)MO

Reviews

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Frequently asked questions

Is MILLIE LIAO (DO) listed with a National Provider Identifier?
Yes — MILLIE LIAO (DO) has NPI 1609372085 on file in the registry.
Is there an active status for MILLIE LIAO (DO)?
For scheduling context, MILLIE LIAO (DO) is shown as active in the registry.
What clinical focus is listed for MILLIE LIAO (DO)?
At a glance, MILLIE LIAO (DO) is tied to Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
Is MILLIE LIAO (DO) located near Saint Louis?
MILLIE LIAO (DO) currently maps to Saint Louis, Missouri in this extract.
Does MILLIE LIAO (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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