Individual provider Active NPI

He Li, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Victoria, TX
National Provider Identifier
1023542495
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
T5963 Issued in TX
Practice address
107 James Coleman Dr
Victoria, TX 77904-3100
Phone
(361) 578-0234
Fax
(361) 580-3168
NPI assigned
Apr 12, 2017
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X T5963 TX
Ophthalmology Physician 207W00000X 12153870-1205 UT
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X T5963 TX Primary

Addresses

Primary practice location

107 James Coleman Dr
Victoria, TX 77904-3100

Mailing address

107 James Coleman Dr
Victoria, TX 77904-3100
Phone (361) 578-0234

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jli135251@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, TX2 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
I20210421001690 UT Practitioner - Ophthalmology 4688923964 Reassigns benefits to 1 organization
I20220624001073 TX Practitioner - Ophthalmology 4688923964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas a & M University System, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians of Austin P aGroup PAC ID 9032197595, 6 clinicians

Practice addresses (Care Compare)

5011 Burnet Rd
Austin, TX 78756-2611
Phone (512) 583-2020

Merit-based Incentive Payment System (MIPS)

Final score
93.36 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T5963TXMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians of Austin P a Ophthalmology CurrentSince Jan 2, 2025 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2021 Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2021 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Victoria Vision Center LLC PastSince Aug 1, 2022 Accepting new patients

Locations

5011 Burnet Rd
Austin, TX 78756
Phone (512) 454-8744

65 S Mario Capecchi Dr
Salt Lake City, UT 84132
Phone (801) 581-2352

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: he.li.p1@direct.victoriaeyecenter.nextgenshare.com
  • Direct secure messaging: jli@epa.intellechartdirect.net

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1023542495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 JAMES COLEMAN DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043100",
            "telephone_number": "361-578-0234",
            "fax_number": "361-580-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 JAMES COLEMAN DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043100",
            "telephone_number": "361-578-0234",
            "fax_number": "361-580-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "HE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "T5963",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "12153870-1205",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "TX",
            "license": "T5963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jli135251@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.