JACKSON LIU (MD) – Nephrology Physician, NPI 1881645315

JACKSON LIU (MD) is a healthcare provider. based in Mansfield, Ohio. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 87597 (OH). The NPI Number for JACKSON LIU (MD) is 1881645315

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JACKSON LIU (MD)
NPI
1881645315
Phone
(419) 774-0478
Address
661 S TRIMBLE RD
Enumeration Date
12 May 2006
Last Update Date
1 February 2012

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4197740478
Graduation Year
2000 (26 years ago)
PAC ID
7012929664
Group Practice PAC ID
4385634179
Professional Enrollment ID
I20060622000222
Address ID
OH449063437MA661XXRDXX400
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

547 NEPHROLOGY in OH

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Provider Addresses for JACKSON LIU (MD)

  • Kidney Associates Inc, 661, South Trimble Road, Mansfield, Richland County, Ohio, 44906, United States

    MANSFIELD, OH 449063437

    Phone: (419) 774-0478

    Fax: (419) 774-9887

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Becton, Dickinson and Company ($40).

Total Amount

$84

General + Research + Ownership

Payments

9

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

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: 2006-06-22

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
I20060622000222INephrologyOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes671256$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)52168$0
90935Hemodialysis procedure with physician evaluation390146$0
99213Established patient office or other outpatient visit, 20-29 minutes327265$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes319145$0
View full utilization report →

Insurance plans in this area (ZIP 44906)

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Provider's Procedures

JACKSON LIU (MD) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYOH90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older7844

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: 4385634179View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
Nephrology, Internal MedicineOH
N E P H R O L O G YOH
Nephrology, Internal MedicineOH
-OH
Nephrology, Internal MedicineOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do I look up JACKSON LIU (MD) by NPI?
Use NPI 1881645315 when you need to reference JACKSON LIU (MD) in forms, claims, or directories.
Is JACKSON LIU (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JACKSON LIU (MD) work in?
You can think of JACKSON LIU (MD) as practicing within Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JACKSON LIU (MD)?
The snapshot lists Mansfield, Ohio for JACKSON LIU (MD); download NPPES for the complete set.
Is JACKSON LIU (MD) a real provider?
This page reflects official NPPES data for NPI 1881645315. Always confirm identity and privileges with the practice and licensing boards.

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