Individual provider Active NPI

Michelle L Li, M.D.

  • Surgery Physician
  • San Francisco, CA
National Provider Identifier
1275520819
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A69093 Issued in CA
Practice address
3838 California St
RM 616
San Francisco, CA 94118-1508
Phone
(415) 668-0411
Fax
(415) 668-6352
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A69093 CA Primary

Addresses

Primary practice location

3838 California St
RM 616
San Francisco, CA 94118-1508

Mailing address

3838 California St
RM 616
San Francisco, CA 94118-1508
Phone (415) 668-0411

Other identifiers 1

IdentifierTypeStateIssuer
00A690930MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040723000511 CA Practitioner - General Surgery 5698755288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, San Diego School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Francisco SurgicalGroup PAC ID 3779563374, 5 clinicians

Practice addresses (Care Compare)

1100 Van Ness Ave
Suite 1040
San Francisco, CA 94109-6980
Phone (415) 923-3020

3838 California St
RM 616
San Francisco, CA 94118-1508
Phone (415) 668-0411

Hospital & facility affiliations

  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008
  • Chinese Hospital Hospital, San Francisco, CA, CCN 050407
  • California Pacific Medical Center - Mission Bernal Hospital, San Francisco, CA, CCN 050055

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as group
Quality
74.52
Promoting interoperability
100
Improvement activities
40
Cost
83.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A69093CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Surgical CurrentSince Aug 1, 2004 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Seton Medical Center Past Accepting new patients

Locations

1580 Valencia St
Ste 607
San Francisco, CA 94110
Phone (415) 213-7971

3838 California St
Rm 616
San Francisco, CA 94118
Phone (415) 668-0411

1100 Van Ness Ave
Ste 1040
San Francisco, CA 94109
Phone (415) 923-3020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mli183728@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1275520819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST",
            "address_2": "RM 616",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181508",
            "telephone_number": "415-668-0411",
            "fax_number": "415-668-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST",
            "address_2": "RM 616",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181508",
            "telephone_number": "415-668-0411",
            "fax_number": "415-668-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A69093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A690930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.