Yan Li, MD., PHD., P.a.

Primary specialty

ContractorTaxonomy code 171W00000X

License

K1863 Issued in TX

Legal business name

YAN LI, MD., PHD., P.A.

Doing business as

Omni Medical Center

Practice address

4040 McDermott Rd
Suite 100
Plano, TX 75024-7734

Phone

(972) 668-6868

Fax

(972) 668-1618

NPI assigned

Jan 8, 2008

Last updated

Mar 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Li

Title

Office Manager

Phone

(972) 668-6868

Specialties & licenses 2

Addresses

Other names 1

• Omni Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yan Li, M.D., PH.D.

  • Family Medicine Physician
  • Plano, TX
  • NPI 1619932076
  Medicare reassignment Care Compare group NPD
• Stephanie Elnora Stafford, DO MPH

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1720031321
  Medicare reassignment Care Compare group NPD
• Kyoko Arata

  • Nurse Practitioner
  • Plano, TX
  • NPI 1790234482
  Medicare reassignment NPD
• Chuangmin Wu, NP

  • Family Nurse Practitioner
  • Plano, TX
  • NPI 1427411099
  Medicare reassignment NPD
• Chyah Musia Averick, MD

  • Family Medicine Physician
  • Alma, MI
  • NPI 1467022772

  TX

  Medicare reassignment NPD
• Steven Tung DO, MD

  • Family Medicine Physician
  • McKinney, TX
  • NPI 1205538790
  NPD (past)
• Nghi Bao Phan, MD

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1649474222
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1093990079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 MCDERMOTT RD",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247734",
            "telephone_number": "972-668-6868",
            "fax_number": "972-668-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 MCDERMOTT RD",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247734",
            "telephone_number": "972-668-6868",
            "fax_number": "972-668-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAN LI, MD., PHD., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-668-6868"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "K1863",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Yadav
• Hitesh Yagnik, M.D.
• Sangita Yagnik, PMHNP
• Joseph Yaker, MD
• Natan Yaker, M.D.
• Tingting Yan, PHARM.D.
• Holly Elizabeth Yanelli, CNIM
• Huan Yang, MD
• Julie Yang
• Kelly Yang

• Contractor in Plano, TX
• Providers in Plano, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.