Active NPI
Shengyun Li, MD, PHD
- Pain Medicine (Psychiatry & Neurology) Physician
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Psychiatry & Neurology) Physician
- License
- D0098922
- 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
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 |
|---|---|---|---|---|
| Pain Medicine (Psychiatry & Neurology) Physician | 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Pain Medicine | Current | Accepting new patients |
| Newbridge Surgery Center at Waldorf | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Newbridge Surgery Center at Prince Frederick, LLC | Current | Accepting new patients | |
| Newbridge Surgery Center at Frederick | Current | Accepting new patients | |
| Privia Medical Group, LLC | Single Specialty | Current | Accepting new patients |
| Advanced Pain and Neurology Center | Single Specialty | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Newbridge Anesthesia LLC | Single Specialty | Past | 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
- sli19720@gwmfa.direct-ci.com
- shengyun.li.2@8042.direct.athenahealth.com
- 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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Gaithersburg, MD
- NPI 1558169664
DC, Single Specialty
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
DC, MD, Single Specialty
-
- Ambulatory Surgical Clinic/Center
- Frederick, MD
- NPI 1508199720
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1710112669
-
- Ambulatory Surgical Clinic/Center
- Prince Frederick, MD
- NPI 1285944504
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1093251209
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.