KARISSA LIU
NPI 1396537569
Anesthesiologist Assistant in Salt Lake City, UT

Q: What is Karissa Liu's NPI number?

The NPI number for Karissa Liu is 1396537569. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Q: What is Karissa Liu's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Karissa Liu was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 May 21, 2025Accepts Medicare Assignment

50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 581-2121 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2025, May 21, 2025 (2 updates tracked since 2025).

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About Karissa Liu NPPES

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

KARISSA LIU (NPI 1396537569) is an individual anesthesiologist assistant in Salt Lake City, Utah, licensed in Utah (142239491226) and active in the NPI registry since May 2025. She is affiliated with University Of Utah Hospitals And Clinics and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396537569

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameKARISSA LIU

Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001

Mailing Address1437 E Calla Lily WaySandy, UT 84092-4379

Phone(801) 581-2121

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 21, 2025

Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration

NPPES CertifiedDecember 29, 2025

✔ NPI 1396537569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in UT · 142239491226

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

50 N MEDICAL DR, Salt Lake City, UT 84132

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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

Karissa Liu 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 ID4082122916

PECOS Enrollment IDI20250801003789

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

UNIVERSITY OF UTAH ADULT SERVICES

Otolaryngology