Individual provider Active NPI

Li Li, MD

  • Internal Medicine Physician
  • Sandwich, MA
National Provider Identifier
1215977327
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2001001898 Issued in MO
Practice address
74 Route 6a
Sandwich, MA 02563-1864
Phone
(508) 833-1569
Fax
(508) 888-8936
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2001001898 MO Primary

Addresses

Primary practice location

74 Route 6a
Sandwich, MA 02563-1864

Mailing address

74 Route 6a
Sandwich, MA 02563-1864
Phone (508) 833-1569

Other identifiers 1

IdentifierTypeStateIssuer
200950608MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20100908001112 MA Practitioner - Internal Medicine 7113823550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians
Medical Affiliates of Cape Cod IncGroup PAC ID 3577471564, 237 clinicians

Practice addresses (Care Compare)

174 Forest Hills
Laurel Ridge Nursing
Jamaica Plain, MA 02130-3353
Phone (617) 522-1550

27 Park St
Hyannis, MA 02601-5230
Phone (508) 771-1800

495 Station Ave
S Yarmouth, MA 02664-1218
Phone (774) 552-3208

Hospital & facility affiliations

  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108
  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 1, 2010 Accepting new patients
Medical Care of Boston Management Corporation Internal Medicine CurrentSince Nov 17, 2019 Accepting new patients
Physicians of Cape Cod Hospital Internal Medicine CurrentSince Jun 10, 2026 Accepting new patients
Medical Affiliates of Cape Cod, Inc. Internal Medicine CurrentSince Aug 1, 2010 Accepting new patients
Susan Swope, MD Internal Medicine Past Accepting new patients
Midwest Emergency Associates-Fenton, LLC Past Accepting new patients

Locations

525 Long Pond Dr
Harwich, MA 02645
Phone (508) 430-3311

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

25 Communication Way
Hyannis, MA 02601
Phone (508) 957-8669

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

174 Forest Hills St
Jamaica Plain, MA 02130
Phone (617) 522-1550

74 Route 6A
Sandwich, MA 02563
Phone (508) 210-5918

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

Interoperability endpoints

  • Direct secure messaging: lli251996@direct.bilh.masshiway.net
  • Direct secure messaging: li.li.1@15074.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1215977327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 ROUTE 6A",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025631864",
            "telephone_number": "508-833-1569",
            "fax_number": "508-888-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ROUTE 6A",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025631864",
            "telephone_number": "508-833-1569",
            "fax_number": "508-888-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "LI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2001001898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200950608",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandwich, MA

Sources for this page

Verify at the official NPI Registry.