Individual provider Active NPI

Jian Li, MD

  • Pediatrics Physician
  • Martinsville, IN
National Provider Identifier
1215925201
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01056719A Issued in IN
Practice address
1949 Hospital Dr
Martinsville, IN 46151-1861
Phone
(765) 342-0539
Fax
(765) 342-3413
NPI assigned
Oct 12, 2005
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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 01056719A IN Primary

Addresses

Primary practice location

1949 Hospital Dr
Martinsville, IN 46151-1861

Mailing address

PO Box 1329
Bloomington, IN 47402-1329

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JLI1@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110221000108 IN Practitioner - Pediatric Medicine 2769663079 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians, LLC CurrentSince Jan 1, 2021 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Jan 1, 2021 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jan 12, 2026 Accepting new patients
Morgan Physician Specialists, LLC Past Accepting new patients
Major Hospital 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

  • Direct secure messaging: jli1@direct.iuhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1215925201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474021329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 HOSPITAL DR",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511861",
            "telephone_number": "765-342-0539",
            "fax_number": "765-342-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01056719A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JLI1@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1949 Hospital Dr",
            "city": "Martinsville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461511861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsville, IN

Sources for this page

Verify at the official NPI Registry.