Individual provider Active NPI

Tony Li

  • Family Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1275100372
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R231719 Issued in MD
Practice address
8630 Fenton St FL 12
Silver Spring, MD 20910-3806
Phone
(301) 585-1250
NPI assigned
Jun 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R231719 MD Primary
Family Nurse Practitioner 363LF0000X APRN-3204 HI
Family Nurse Practitioner 363LF0000X NP1051903 DC

Addresses

Primary practice location

8630 Fenton St FL 12
Silver Spring, MD 20910-3806

Mailing address

8630 Fenton St FL 12
Silver Spring, MD 20910-3806
Phone (301) 585-1250

Other practice location 1

3020 14th St NW
Washington, DC 20009-6865
Phone (202) 469-4699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211006000646 HI Practitioner - Nurse Practitioner 3173921103 Reassigns benefits to 1 organization
I20231108004083 DC Practitioner - Nurse Practitioner 3173921103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Clinic, IncGroup PAC ID 6204722614, 33 clinicians

Practice addresses (Care Compare)

7676 New Hampshire Ave
Takoma Park, MD 20912-7514
Phone (301) 431-2972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP1051903DCMDFamily Nurse Practitioner
R231719MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Sep 26, 2023 Accepting new patients
Unity Health Care Inc. CurrentSince Sep 26, 2023 Accepting new patients
Community Clinic, Inc CurrentSince Feb 4, 2025 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Aug 24, 2021 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc Current Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc CurrentSince Aug 24, 2021 Accepting new patients
Community Clinic, Inc. Family CurrentSince Feb 4, 2025 Accepting new patients

Locations

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817

3020 14th St NW
Washington, DC 20009
Phone (202) 745-4300

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

8630 Fenton St
Ste 1200
Silver Spring, MD 20910
Phone (301) 585-1250

8630 Fenton St
Ste 1204
Silver Spring, MD 20910
Phone (240) 499-2636

8665 Georgia Ave
Silver Spring, MD 20910
Phone (301) 340-7525

Interoperability endpoints

  • Direct secure messaging: tony.li.d1.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 7

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": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1275100372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST FL 12",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103806",
            "telephone_number": "301-585-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST FL 12",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103806",
            "telephone_number": "301-585-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 14th St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200096865",
            "country_code": "US",
            "telephone_number": "202-469-4699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "TONY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R231719",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3204",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP1051903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.