Sumin Tammy Li, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD-42864 Issued in IA

Practice address

400 E Polk St
Washington, IA 52353-1237

Phone

(319) 550-5118

NPI assigned

Sep 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, TX2 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 2

Specialty

Emergency Medicine

Education

Georgetown University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson County HospitalGroup PAC ID 9335059575, shared by 4 NPIs, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson County Health Center Hospital, Fairfield, IA, CCN 161364
• Monroe County Hospital Hospital, Albia, IA, CCN 161342
• Keokuk County Health Center Hospital, Sigourney, IA, CCN 161315

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sli671993@direct.unitypoint.org

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.

• Dallas County Hospital

  • Critical Access Hospital
  • Perry, IA
  • NPI 1669477089

  IA

  Medicare reassignment NPD
• Dallas County Hospital

  • Emergency Medicine Physician
  • Perry, IA
  • NPI 1861416307

  IA

  Medicare reassignment NPD
• Jefferson County Hospital

  • Critical Access Hospital
  • Fairfield, IA
  • NPI 1376648329

  IA

  Medicare reassignment NPD
• Jefferson County Hospital

  • Rural Health Clinic/Center
  • Richland, IA
  • NPI 1881294536

  IA

  Medicare reassignment NPD
• Keokuk County Health Center

  • Critical Access Hospital
  • Sigourney, IA
  • NPI 1376611103

  IA

  Medicare reassignment NPD
• Mercy Medical Center-Centerville

  • Emergency Care Clinic/Center
  • Centerville, IA
  • NPI 1528018801

  IA

  Medicare reassignment NPD
• DHHS IHS Phoenix Area

  • Federal Public Health Clinic/Center
  • Havasu Lake, CA
  • NPI 1396022026

  TX

  Medicare reassignment NPD
• Decatur County Hospital

  • Critical Access Hospital
  • Leon, IA
  • NPI 1144209255

  IA

  Medicare reassignment
• Dallas County Hospital

  • Rural Health Clinic/Center
  • Dallas Center, IA
  • NPI 1194412478
  NPD
• Jefferson County Hospital

  • Certified Registered Nurse Anesthetist
  • Fairfield, IA
  • NPI 1679672679
  NPD
• Keokuk County Health Center

  • Rural Health Clinic/Center
  • Hedrick, IA
  • NPI 1588492862
  NPD
• Mercy Medical Center-Centerville

  • Multi-Specialty Clinic/Center
  • Ottumwa, IA
  • NPI 1093360679
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jefferson County Hospital

  • Critical Access Hospital
  • Fairfield, IA
  • NPI 1376648329

  Hospital

  Care Compare affiliation
• Keokuk County Health Center

  • Critical Access Hospital
  • Sigourney, IA
  • NPI 1376611103

  Hospital

  Care Compare affiliation
• Monroe County Hospital

  • Critical Access Hospital
  • Albia, IA
  • NPI 1205895299

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205086337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E POLK ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531237",
            "telephone_number": "319-550-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E POLK ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531237",
            "telephone_number": "319-550-5118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1429 Wild Prairie Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522468691",
            "country_code": "US",
            "telephone_number": "650-766-5337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1429 Wild Prairie Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522468691",
            "country_code": "US",
            "telephone_number": "650-766-5337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "SUMIN",
        "middle_name": "TAMMY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IA",
            "license": "MD-42864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Krueger, NP
• Wyatt Louis Kurzejeski, DPT
• Larios Laboratory Services LLC
• Marlene Larios, MLT
• Angela Lee, RN
• Sonya E Libe, LMSW
• Rey C Lin, MD
• Charity Lovan, RN
• Thomas D Lowe, OD
• Jonni Rose Lukenbill-Bowles, MS, LPC, NCC, BCC

• General Practice Physician in Washington, IA
• Providers in Washington, IA by specialty
• General Practice Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.