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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Henny Liwan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Carolina Mg, LLC
449 mi
Hospitalist
4420 LAKE BOONE TRL
Raleigh, NC 27607
  • Reassigned Medicare billing, North Carolina enrollment
  • 701 clinicians in this Medicare group
NPI 1215741640 (919) 784-3100
Triangle Women's Center PC
453 mi
Obstetrics & Gynecology
6001 MCCRIMMON PKWY STE 200-A
Morrisville, NC 27560
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Triangle Womens Center PC
  • 9 clinicians in this Medicare group
NPI 1073840005 (919) 342-5383
Dlp Central Carolina Medical Group LLC
481 mi
Rural Health
101 CHURCH ST
Broadway, NC 27505
  • Reassigned Medicare billing, North Carolina enrollment
  • 92 clinicians in this Medicare group
NPI 1578254215 (919) 258-6521
Marshfield Clinic Inc
901 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
Lakeview Medical Center Inc Of Rice Lake
981 mi
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
NPI 1659008605 (715) 924-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
404 POTTER BLVD
BRIGHTWATERS, NY 11718
Suffolk County (631) 376-0055
BENJAMIN MICHAEL SCHWARTZ MD
Obstetrics & Gynecology (Gynecologic Oncology)
404 POTTER BLVD
BRIGHTWATERS, NY 11718
Suffolk County (631) 376-0055
DR. KAITLIN HAINES M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
404 POTTER BLVD
BRIGHTWATERS, NY 11718
Suffolk County (631) 376-0055
CHRISTINE MARIE KERSHAW PA-C
Physician Assistant
404 POTTER BLVD
BRIGHTWATERS, NY 11718
Suffolk County (631) 376-0055
JESSICA DEZEGO PA-C
Physician Assistant
404 POTTER BLVD
BRIGHTWATERS, NY 11718
Suffolk County (631) 376-0055
ISLAND GYNECOLOGIC ONCOLOGY, PLLC
Obstetrics & Gynecology (Gynecologic Oncology)
404 POTTER BLVD
BRIGHTWATERS, NY 11718
Suffolk County (631) 376-0055
NORTH SHORE LONG ISLAND JEWISH HEALTHCARE INC.
Obstetrics & Gynecology (Gynecologic Oncology)
404 POTTER BLVD
BRIGHTWATERS, NY 11718
Suffolk County (631) 376-0055
PRISCILLA DELELLO PA
Physician Assistant
404 POTTER BLVD
BRIGHTWATERS, NY 11718
Suffolk County (631) 376-0055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Henny Liwan located?

Henny Liwan practices at 404 Potter Blvd, Brightwaters, NY 11718. The listed phone number is (631) 376-0055.

What is Henny Liwan's specialty?

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

Is Henny Liwan enrolled in Medicare?

Yes. Henny Liwan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Henny Liwan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henny Liwan reassigns Medicare benefits to 5 organizations: North Carolina Mg, LLC (Raleigh, NC), Triangle Women's Center PC (Morrisville, NC), Dlp Central Carolina Medical Group LLC (Broadway, NC), Marshfield Clinic Inc (Marshfield, WI) and Lakeview Medical Center Inc Of Rice Lake (Chetek, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Henny Liwan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Henny Liwan accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Henny Liwan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Henny Liwan affiliated with any hospitals?

According to CMS data, Henny Liwan is affiliated with Rex Hospital.

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.