DR. HENNY LIWAN M.D.
NPI 1376855007
Obstetrics & Gynecology in Brightwaters, NY

Q: What is Henny Liwan's NPI number?

The NPI number for Henny Liwan is 1376855007. It was assigned to this individual provider in the NPPES registry on July 10, 2010.

Q: What is Henny Liwan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Henny Liwan was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2010PECOS EnrolledAccepts Medicare Assignment

404 POTTER BLVD, BRIGHTWATERS, NY 11718(631) 376-0055 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2022, Oct 12, 2021, Jun 19, 2019 (3 updates tracked since 2019).

On this page

About Dr. Henny Liwan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HENNY LIWAN M.D. (NPI 1376855007) is an individual obstetrics & gynecology provider in Brightwaters, New York, licensed in Michigan (4301096524) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376855007

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. HENNY LIWANCredential: M.D.

Location Address404 POTTER BLVDBrightwaters, NY 11718

Mailing Address404 Potter BlvdBrightwaters, NY 11718-1830

Phone(631) 376-0055

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJuly 10, 2010

Last NPPES UpdateDecember 22, 20223 updates tracked since enumeration

NPPES CertifiedDecember 22, 2022

✔ NPI 1376855007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in MI · 4301096524✔ Licensed in NC · 2020-00262

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

404 POTTER BLVD, Brightwaters, NY 11718

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1404 Potter BlvdBrightwaters, NY 11718 · Phone (631) 376-0055

Location 2781 Avent Ferry Rd Ste 106Holly Springs, NC 27540-7776 · Phone (919) 567-6133

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Henny Liwan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335365113

PECOS Enrollment IDI20200420000809

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rex Hospital

Acute Care Hospitals · Raleigh, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340114

Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIANNA LEE BLASKEY PA-C

Physician Assistant