Individual provider Active NPI

Conrad Li, M.D.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1013271741
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
280627 Issued in NY
Practice address
13620 Maple Ave # C702
Flushing, NY 11355-5166
Phone
(347) 368-4288
Fax
(347) 368-4785
NPI assigned
Jun 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 280627 NY Primary

Addresses

Primary practice location

13620 Maple Ave # C702
Flushing, NY 11355-5166

Mailing address

13620 Maple Ave # C702
Flushing, NY 11355-5166
Phone (347) 368-4288

Other practice location 1

13348 37th Ave Apt 2
Flushing, NY 11354-4460
Phone (347) 368-4288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160509002081 NY Practitioner - Internal MedicinePractitioner - Hospitalist 0244539534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13620 Maple Ave
Unit C702
Flushing, NY 11355-5166
Phone (347) 368-4288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
280627NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine Internal Medicine Current Accepting new patients

Locations

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1013271741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 MAPLE AVE # C702",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555166",
            "telephone_number": "347-368-4288",
            "fax_number": "347-368-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 MAPLE AVE # C702",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555166",
            "telephone_number": "347-368-4288",
            "fax_number": "347-368-4785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13348 37th Ave Apt 2",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113544460",
            "country_code": "US",
            "telephone_number": "347-368-4288",
            "fax_number": "347-348-4785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "CONRAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "280627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.