Individual provider Active NPI

Huan Tang Li, MD

  • Pediatrics Physician
  • Canandaigua, NY
National Provider Identifier
1164919015
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
315175 Issued in NY
Practice address
335 Parrish St
Canandaigua, NY 14424-1794
Phone
(585) 393-2860
NPI assigned
Apr 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 315175 NY Primary

Addresses

Primary practice location

335 Parrish St
Canandaigua, NY 14424-1794

Mailing address

335 Parrish St
Canandaigua, NY 14424-1794
Phone (585) 393-2860

Other practice location 1

1160 Corporate Dr
Farmington, NY 14425-9534
Phone (585) 924-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220720001472 NY Practitioner - Pediatric Medicine 5799166831 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Frederick Ferris Thompson Hospital CurrentSince Aug 15, 2022 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Aug 15, 2022 Accepting new patients

Locations

350 Parrish St
Canandaigua, NY 14424
Phone (585) 396-6000

335 Parrish St
Canandaigua, NY 14424
Phone (585) 393-2888

73 Buffalo St
Ste 100
Canandaigua, NY 14424

1160 Corporate Dr
Farmington, NY 14425
Phone (585) 742-3574

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

Interoperability endpoints

  • Direct secure messaging: hli272917@direct.urmc.rochester.edu

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1164919015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 PARRISH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241794",
            "telephone_number": "585-393-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 PARRISH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241794",
            "telephone_number": "585-393-2860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NY",
            "postal_code": "144259534",
            "country_code": "US",
            "telephone_number": "585-924-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "HUAN",
        "middle_name": "TANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "315175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.