Active NPI
Xinyu Daniel Li, MD, PHD
- General Practice Physician
- Fort Thompson, SD
National Provider Identifier
1144421504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 064592
- Practice address
- 1323 Bia Route 4
Fort Thompson, SD 57339-0200 - Phone
- (605) 245-1500
- NPI assigned
- May 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 064592 | GA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN 10258 | FL |
Addresses
Primary practice location
1323 Bia Route 4
Fort Thompson, SD 57339-0200
Mailing address
PO Box 200
Fort Thompson, SD 57339-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5549010 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064592 | GA | MD | General Practice Physician |
| TRN 10258 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1144421504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200",
"city": "FORT THOMPSON",
"state": "SD",
"postal_code": "573390200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 BIA ROUTE 4",
"city": "FORT THOMPSON",
"state": "SD",
"postal_code": "573390200",
"telephone_number": "605-245-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "XINYU",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "064592",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN 10258",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5549010",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Thompson, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.