CAROLYN C LIU (MD) – Internal Medicine Physician, NPI 1619039401

CAROLYN C LIU (MD) is a healthcare provider. based in Bellevue, Washington. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. MD00043607 (WA). The NPI Number for CAROLYN C LIU (MD) is 1619039401

Main info

Female
Name
CAROLYN C LIU (MD)
NPI
1619039401
Phone
(425) 641-4000
Address
12917 SE 38th St Ste 100
Enumeration Date
15 December 2006
Last Update Date
24 May 2021

Contacts

Secure Messaging
cliu1042328@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for CAROLYN C LIU (MD)

  • 12917 SE 38th St Ste 100

    Bellevue, WA 980061349

    Phone: (425) 641-4000

    Fax: (206) 320-5845

    Type: Location

  • PO BOX 84026

    SEATTLE, WA 981248426

    Phone: (425) 401-1365

    Type: Mailing

  • 22707, Southeast 29th Street, Pine Lake, Sammamish, King County, Washington, 98075, United States

    SAMMAMISH, WA 980759532

    Phone: (425) 455-2845

    Fax: (425) 861-8602

    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: 2005-01-06

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
I20050106000920IInternal MedicineWATBD

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 98006)

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Reviews

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Frequently asked questions

Does CAROLYN C LIU (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CAROLYN C LIU (MD) uses 1619039401.
Does the file indicate CAROLYN C LIU (MD) is practicing under active NPI?
Directory data currently reports CAROLYN C LIU (MD) as active.
What taxonomy line describes CAROLYN C LIU (MD)?
For research purposes, treat CAROLYN C LIU (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for CAROLYN C LIU (MD)?
CAROLYN C LIU (MD)'s geographic hint is Bellevue, Washington in our summary view.
Why does CAROLYN C LIU (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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