Jian Li, MD
Individual provider Active NPI Pediatrics Physician · Martinsville, IN
NPI 1215925201 · NPPES record last updated Dec 17, 2020
Key facts
- NPI
- 1215925201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 01056719A (IN)
- Practice address
- 1949 Hospital Dr
Martinsville, IN 46151-1861 - Phone
- (765) 342-0539
- Fax
- (765) 342-3413
- NPI assigned
- Oct 12, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110221000108 | IN | Practitioner - Pediatric Medicine | 2769663079 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| Indiana University Health Southern Indiana Physicians LLC | Current |
Accepting new patients | |
| Indiana University Health Southern Indiana Physicians, LLC | Current |
Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Morgan Physician Specialists, LLC | Past | Accepting new patients |
Locations
350 S Landmark Ave
Bloomington, IN 47403
Phone (812) 332-9874
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1949 Hospital Dr
Martinsville, IN 46151
Phone (765) 342-8383
2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364
Interoperability endpoints
- jli1@direct.iuhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01056719A | IN | Yes |
Addresses
Primary practice location
1949 Hospital Dr
Martinsville, IN 46151-1861
Mailing address
PO Box 1329
Bloomington, IN 47402-1329
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200391020 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JLI1@direct.iuhealth.org |
Other providers in Martinsville, IN
- Curtis Andrew Legg
- Theodore Rex Legler II
- Andrea M Leonard
- Michelle Lewis
- Hualei Li
- Kimberly Lynn Like
- Patrick Lomasney
- Elizabeth Long
- Lynn Michelle Lopossa
- LPS Behavioral Health LLC
All providers in Martinsville, IN · Pediatrics Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.