NPIMap

Individual provider Active NPI

Emile C Li, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Fort Dodge, IA
National Provider Identifier
1285687418
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
30558 Issued in IA
Practice address
2700 1St Ave S
Suite 100
Fort Dodge, IA 50501-4300
Phone
(515) 955-6767
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 30558 IA Primary
Orthopaedic Surgery Physician 207X00000X 30558 IA

Addresses

Primary practice location

2700 1St Ave S
Suite 100
Fort Dodge, IA 50501-4300

Mailing address

2700 1St Ave S
Suite 100
Fort Dodge, IA 50501-4300

Other identifiers 6

IdentifierTypeStateIssuer
35349OtherIAWELLMARK
36166OtherIAWELLMARK
P00041348OtherIARR MEDICARE
2789OtherIAMIDLANDS
8123083MedicaidIA
2123083MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324000726 IA Practitioner - Orthopedic Surgery 3173434750 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Creighton University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Specialty Hospital- ClarionGroup PAC ID 3375451347, 94 clinicians

Practice addresses (Care Compare)

1000 15TH St N
Humboldt County Memorial Hospital
Humboldt, IA 50548-1008
Phone (515) 955-6767

1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811

215 13TH Ave SW
Clarion Clinic
Clarion, IA 50525-2078
Phone (515) 532-2838

2700 1St Ave S
Suite 100
Fort Dodge, IA 50501-4300
Phone (515) 955-6767

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement19
Knee replacement39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30558IAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Belmond Community Hospital Current Accepting new patients
Belmond Community Hospital CurrentSince Nov 17, 2010 Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Humboldt County Memorial Hospital Current Accepting new patients
Iowa Specialty Hospital-Clarion CurrentSince Jul 1, 2003 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Dallas County Hospital Past Accepting new patients
Iowa Specialty Hospital- Clarion Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

2700 1st Ave S
Ste 100
Fort Dodge, IA 50501
Phone (515) 955-6767

2700 1st Ave S
Fort Dodge, IA 50501
Phone (515) 576-3338

840 W US Highway 18
Garner, IA 50438
Phone (641) 925-1500

700 2nd St SE
Ste 101
Hampton, IA 50441
Phone (641) 812-1094

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

Interoperability endpoints

  • Direct secure messaging: eli84440@uihcdirect.org
  • Direct secure messaging: eli158413@direct.unitypoint.org

Organizations & group practices 11

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 7

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1285687418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 1ST AVE S",
            "address_2": "SUITE 100",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 1ST AVE S",
            "address_2": "SUITE 100",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014300",
            "telephone_number": "515-955-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "EMILE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IA",
            "license": "30558",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "30558",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "35349",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "36166",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00041348",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS",
            "identifier": "2789",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8123083",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2123083",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.