Li Jia, MD
Individual provider Active NPI Emergency Medicine Physician · Wichita, KS
NPI 1255695482 · NPPES record last updated Jan 12, 2021
Key facts
- NPI
- 1255695482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 04-38961 (KS)
- Practice address
- 1010 N. Kansas
Wcgme
Wichita, KS 67214 - Phone
- (316) 962-3030
- NPI assigned
- Jul 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - Kansas LLC
Practice addresses (Care Compare)
929 N Saint Francis St
Via Christi Hospital St Francis
Wichita, KS 67214-3821
Phone (316) 268-5000
Hospital & facility affiliations
- Via Christi Hospital Wichita St Teresa, Inc
- Ascension Via Christi Hospitals Wichita, Inc.
- Kansas Medical Center LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, VI
- 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 |
|---|---|---|---|---|
| I20160823001396 | KS | Practitioner - Emergency Medicine | 4082864087 | Reassigns benefits to 3 organizations |
| I20210331002006 | VI | Practitioner - Emergency Medicine | 4082864087 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-38961 | KS | MD | Emergency Medicine Physician |
| 9407949 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Medical Center, LLC | Current | Accepting new patients | |
| Governor Juan F. Luis Hospital & Medical Center | Current |
Accepting new patients | |
| Rock Regional Hospital, LLC | Current |
Accepting new patients | |
| Cep America - Kansas LLC | Emergency Medicine | Current |
Accepting new patients |
| Kansas Medical Center, LLC | Current |
Accepting new patients | |
| Kansas Medical Center LLC | Current | Accepting new patients | |
| Cep America - Kansas LLC | Emergency Medicine | Current |
Accepting new patients |
| Governor Juan F. Luis Hospital & Medical Center | Current |
Accepting new patients | |
| Kansas Medical Center, LLC | Family Medicine | Current |
Accepting new patients |
| Cep America - Kansas LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000
3251 N Rock Rd
Derby, KS 67037
Phone (316) 425-2400
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426
4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9407949 | KS | |
| Emergency Medicine Physician | 207P00000X | 04-38961 | KS | Yes |
| Emergency Medicine Physician | 207P00000X | 2020010409 | MO |
Addresses
Primary practice location
1010 N. Kansas
Wcgme
Wichita, KS 67214
Mailing address
1010 N. Kansas
Wcgme
Wichita, KS 67214
Phone (316) 962-3030
Other providers in Wichita, KS
- Rachelle L Jesseph
- Jessica Geide LMFT
- Jason Alan Jester
- Scottlyn Jewett
- Varsha Jhawer
- Atieh Jibbe
- Karim O Jibril
- Ana Jimenez
- Arthur Steven Jimenez
- Georgia Sue Jimenez
All providers in Wichita, KS · Emergency Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2021. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.