Active NPI
Li Gao, NP
- Nurse Practitioner
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704170975
- Practice address
- 1500 East Medical Center Dr
B1 Floor Taubman Center Recp Mos Room 126
Ann Arbor, MI 48109-5317 - Phone
- (734) 232-2867
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704170975 | MI | Primary |
Addresses
Primary practice location
1500 East Medical Center Dr
B1 Floor Taubman Center Recp Mos Room 126
Ann Arbor, MI 48109-5317
Mailing address
3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4622180 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lgao19620@direct.HFHS.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
6773 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-6100
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-4100
Hospital & facility affiliations
- Henry Ford Health West Bloomfield Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Nurse Practitioner | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Nurse Practitioner | Current | Accepting new patients |
| Henry Ford Health System | Nurse Practitioner | Current | Accepting new patients |
Locations
1500 E Medical Center Dr
Fl Taubman
Ann Arbor, MI 48109
Phone (734) 232-2867
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
#700
Ann Arbor, MI 48108
8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
Interoperability endpoints
- lgao19620@direct.hfhs.org
- li.gao.1@28492.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Nurse Practitioner
- Detroit, MI
- NPI 1104900455
-
- Nurse Practitioner
- Ann Arbor, MI
- NPI 1447275102
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Nurse Practitioner
- Brighton, MI
- NPI 1225053895
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1225255300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"address_2": "700 KMS PLACE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-936-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EAST MEDICAL CENTER DR",
"address_2": "B1 FLOOR TAUBMAN CENTER RECP MOS ROOM 126",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095317",
"telephone_number": "734-232-2867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAO",
"first_name": "LI",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704170975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4622180",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lgao19620@direct.HFHS.org",
"affiliation": "N",
"address_1": "2799 W Grand Blvd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482022608",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.