Individual provider Active NPI

Yiding Li, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1295939494
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
246551 Issued in NY
Practice address
818 60TH St Unit C3
Brooklyn, NY 11220-4311
Phone
(718) 851-8928
Fax
(718) 851-0618
NPI assigned
Jun 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 246551 NY Primary
Family Medicine Physician 207Q00000X 35933 IA

Addresses

Primary practice location

818 60TH St Unit C3
Brooklyn, NY 11220-4311

Mailing address

5115 7 Ave.1St FL
1St FL
Brooklyn, NY 11220-3254
Phone (718) 851-8928

Other practice location 1

5115 7 Ave.1st FL
1st FL
Brooklyn, NY 11220
Phone (718) 851-8928

Other identifiers 2

IdentifierTypeStateIssuer
03099254MedicaidNY
1295939494MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090325000359 NY Practitioner - Family Practice 2668565730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5115 7TH Ave
Brooklyn, NY 11220-2806
Phone (718) 851-8928

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35933IAMDFamily Medicine Physician
246551NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
L&L Medical Care PC Family Medicine CurrentSince Mar 6, 2018 Accepting new patients
Margarita Chang NP in Family Health PC PastSince Dec 14, 2025 Accepting new patients

Locations

818 60th St
Unit C3
Brooklyn, NY 11220
Phone (718) 851-8928

5115 7th Ave
#1
Brooklyn, NY 11220
Phone (718) 851-8928

5115 7th Ave
Brooklyn, NY 11220
Phone (718) 436-3497

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1295939494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 7 AVE.1ST FL",
            "address_2": "1ST FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203254",
            "telephone_number": "718-851-8928",
            "fax_number": "718-851-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 60TH ST UNIT C3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204311",
            "telephone_number": "718-851-8928",
            "fax_number": "718-851-0618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5115 7 Ave.1st FL",
            "address_2": "1st FL",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11220",
            "country_code": "US",
            "telephone_number": "718-851-8928",
            "fax_number": "718-851-0618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "YIDING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "246551",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "35933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03099254",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295939494",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.