Individual provider Active NPI

Shihong Li

  • Diagnostic Radiology Physician
  • Iowa City, IA
National Provider Identifier
1023363082
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R-10061 Issued in IA
Practice address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone
(319) 356-3396
Fax
(319) 384-8114
NPI assigned
Jul 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301100965 MI
Diagnostic Radiology Physician 2085R0202X R-10061 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-3396

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sli@rgimaging.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190604000442 IA Practitioner - Diagnostic Radiology 9032442280 Reassigns benefits to 1 organization
I20190801001081 IL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9032442280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Group PC SCGroup PAC ID 9032008537, 39 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 421-9729

1401 W Central Park Ave
Davenport, IA 52804-1707
Phone (563) 421-9729

1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-5615

1970 E 53Rd St
Davenport, IA 52807-2710

3385 Dexter CT
Suite 300
Davenport, IA 52807-3471
Phone (563) 421-9729

4620 Willowwood CT
Davenport, IA 52807-3445
Phone (563) 344-5490

4761 Woodland Dr
Bettendorf, IA 52722-1515
Phone (563) 421-9729

6197 Hess CT
Li
Bettendorf, IA 52722-2469
Phone (563) 421-9729

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.11 of 100Reported as group
Quality
90.72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-10061IAMDDiagnostic Radiology Physician
4301100965MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sli3934082@direct.trinity-health.org

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1023363082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-3396",
            "fax_number": "319-384-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-3396",
            "fax_number": "319-384-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "SHIHONG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301100965",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "R-10061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sli@rgimaging.com",
            "affiliation": "N",
            "endpointDescription": "Radiology Group Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1970 E 53rd St",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528072710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.