Individual provider Active NPI

Gang Li, MD

  • Anesthesiology Physician
  • Indianapolis, IN
National Provider Identifier
1144217795
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01090514A Issued in IN
Practice address
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone
(317) 274-0275
Fax
(317) 274-0256
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0053730 MD
Anesthesiology Physician 207L00000X D0053730 MD
Anesthesiology Physician 207L00000X S9023 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X 01090514A IN
Anesthesiology Physician 207L00000X 01090514A IN Primary

Addresses

Primary practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-2200

Other identifiers 3

IdentifierTypeStateIssuer
537300000MedicaidMD
200468910MedicaidMD
095200149OtherINMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gli@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, TX, FL, WA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20160309002129 DC Practitioner - Anesthesiology 6305894270 Reassigns benefits to 1 organization
I20201229000932 TX Practitioner - Anesthesiology 6305894270 Reassigns benefits to 4 organizations
I20220502000451 FL Practitioner - Anesthesiology 6305894270 Reassigns benefits to 1 organization
I20241104000748 WA Practitioner - Anesthesiology 6305894270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Anesthesia NetworkGroup PAC ID 3274521281, 99 clinicians
Capital Medical Center Specialty Physicians LLCGroup PAC ID 2567651771, 103 clinicians
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

Practice addresses (Care Compare)

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Phone (360) 704-4743

919 E 32ND St
Austin, TX 78705-2703
Phone (512) 343-2466

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Anesthesia Consultants, LLP Anesthesiology CurrentSince Jan 1, 2021 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Aug 7, 2023 Accepting new patients
Iu Anesthesiology Associates, LLC Anesthesiology CurrentSince Jul 17, 2023 Accepting new patients
Austin Anesthesiology Group PLLC Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
Capital Medical Center Specialty Physicians, LLC CurrentSince Sep 27, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Apr 26, 2022 Accepting new patients
Hendrick Anesthesia Network Specialist CurrentSince Jan 19, 2026 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Apr 26, 2022 Accepting new patients
Austin Anesthesiology Group, PLLC Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
Associated Anesthesiology Practice P.a. Anesthesiology Past Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1130 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-0076

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557

6399 Directors Pkwy
Ste 100
Abilene, TX 79606
Phone (325) 794-5450

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

6250 US Highway 83
Abilene, TX 79606
Phone (325) 428-1010

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

Interoperability endpoints

  • Direct secure messaging: gli1713474@direct.texashealth.org

Organizations & group practices 11

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1144217795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-274-0275",
            "fax_number": "317-274-0256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 Old Court Rd",
            "address_purpose": "LOCATION",
            "city": "Randallstown",
            "state": "MD",
            "postal_code": "211335103",
            "country_code": "US",
            "telephone_number": "410-521-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "GANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0053730",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0053730",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "S9023",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01090514A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01090514A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "537300000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200468910",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "095200149",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gli@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.