Active NPI
Kewa Li, MD
- Internal Medicine Physician
- Columbus, OH
National Provider Identifier
1104896711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35079470L
- Practice address
- 2931 Donnylane Blvd
Columbus, OH 43235-3228 - Phone
- (614) 760-0622
- Fax
- (614) 760-0610
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35079470L | OH | Primary |
Addresses
Primary practice location
2931 Donnylane Blvd
Columbus, OH 43235-3228
Mailing address
2931 Donnylane Blvd
Columbus, OH 43235-3228
Phone (614) 760-0622
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2283363 | Medicaid | OH | |
| 1982793733 | Other | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2931 Donnylane Blvd
Columbus, OH 43235-3228
Phone (614) 760-0622
Hospital & facility affiliations
- Dublin Methodist Hospital
- Ohio State University State Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35079470L | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Franklin County, LTD | Internal Medicine | Past | Accepting new patients |
| Fairfield Medical Center | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f17aed19-e2f6-49d4-bba0-64508a2357d2/
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1982793733
-
- General Acute Care Hospital
- Lancaster, OH
- NPI 1467433763
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1326088782
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Columbus, OH
- NPI 1184723637
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
-
- Psychiatric Hospital Unit
- Columbus, OH
- NPI 1790876183
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1801937008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1104896711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2931 DONNYLANE BLVD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432353228",
"telephone_number": "614-760-0622",
"fax_number": "614-760-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2931 DONNYLANE BLVD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432353228",
"telephone_number": "614-760-0622",
"fax_number": "614-760-0610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "KEWA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35079470L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2283363",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1982793733",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.