Individual provider Active NPI

Shengyun Li, MD, PHD

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Gaithersburg, MD
National Provider Identifier
1265995351
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
D0098922 Issued in MD
Practice address
501 N Frederick Ave Ste 302
Gaithersburg, MD 20877-2507
Phone
(240) 220-6600
Fax
(855) 538-3415
NPI assigned
Apr 7, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P2900X D0098922 MD Primary

Addresses

Primary practice location

501 N Frederick Ave Ste 302
Gaithersburg, MD 20877-2507

Mailing address

501 N Frederick Ave Ste 302
Gaithersburg, MD 20877-2507
Phone (240) 660-2200

Other practice location 1

196 Thomas Johnson Dr Ste 215
Frederick, MD 21702-4527
Phone (301) 668-9988

Other practice location 2

80 Sherry Ln Ste 101B
Prince Frederick, MD 20678-3232
Phone (410) 414-9229

Other practice location 3

3581 Old Washington Rd Ste G
Waldorf, MD 20602-3270
Phone (301) 638-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250320000496 DC Practitioner - NeurologyPractitioner - Interventional Pain Management 3476075334 Reassigns benefits to 2 organizations
I20250913000816 MD Practitioner - NeurologyPractitioner - Interventional Pain Management 3476075334 Reassigns benefits to 3 organizations
I20251029003823 VA Practitioner - Neurology 3476075334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Interventional Pain Management
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

11350 Pembrooke SQ
Suite 304
Waldorf, MD 20603-4809
Phone (571) 366-8845

196 Thomas Johnson Dr
Suite 215
Frederick, MD 21702-4527
Phone (301) 668-9988

3581 Old Washington Rd
Waldorf, MD 20602-3270

501 N Frederick Ave
Suite 302
Gaithersburg, MD 20877-2507
Phone (240) 220-6600

80 Sherry LN
Prince Frederick, MD 20678-3232
Phone (410) 414-9229

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Pain Medicine CurrentSince Aug 12, 2025 Accepting new patients
Newbridge Surgery Center at Waldorf CurrentSince Sep 15, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 12, 2025 Accepting new patients
Newbridge Surgery Center at Prince Frederick, LLC CurrentSince Sep 15, 2025 Accepting new patients
Newbridge Surgery Center at Frederick CurrentSince Sep 15, 2025 Accepting new patients
Privia Medical Group, LLC Single Specialty CurrentSince Aug 12, 2025 Accepting new patients
Advanced Pain and Neurology Center Single Specialty CurrentSince Nov 26, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Newbridge Anesthesia LLC Single Specialty PastSince Aug 27, 2019 Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

196 Thomas Johnson Dr
Ste 215
Frederick, MD 21702
Phone (301) 668-9988

501 N Frederick Ave
Ste 302
Gaithersburg, MD 20877
Phone (301) 591-8261

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

80 Sherry Ln
#101B
Prnc Frederck, MD 20678
Phone (410) 414-9229

80 Sherry Ln
Ste 101B
Prnc Frederck, MD 20678
Phone (410) 414-9229

12345 Parklawn Dr
Ste 200
Rockville, MD 20852
Phone (240) 242-7385

9711 Medical Center Dr
Ste 307
Rockville, MD 20850
Phone (240) 453-0050

3581 Old Washington Rd
Ste G
Waldorf, MD 20602
Phone (301) 638-4400

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: sli19720@gwmfa.direct-ci.com
  • Direct secure messaging: shengyun.li.2@8042.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JHBJDD/Endpoint/JHBJDD

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1265995351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N FREDERICK AVE STE 302",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772507",
            "telephone_number": "240-660-2200",
            "fax_number": "855-538-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N FREDERICK AVE STE 302",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772507",
            "telephone_number": "240-220-6600",
            "fax_number": "855-538-3415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 Thomas Johnson Dr Ste 215",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024527",
            "country_code": "US",
            "telephone_number": "301-668-9988",
            "fax_number": "301-668-9977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Sherry Ln Ste 101B",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206783232",
            "country_code": "US",
            "telephone_number": "410-414-9229",
            "fax_number": "301-360-5412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3581 Old Washington Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206023270",
            "country_code": "US",
            "telephone_number": "301-638-4400",
            "fax_number": "301-638-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "SHENGYUN",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-07",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "MD",
            "license": "D0098922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.