Active NPI
Joshua Caleb Li, MD
- Family Medicine Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 51031
- Practice address
- 1910 S Stapley Dr Ste 101
Mesa, AZ 85204-6675 - Phone
- (855) 776-7266
- Fax
- (833) 449-4001
- NPI assigned
- May 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29343 | OK | |
| Family Medicine Physician | 207Q00000X | 51031 | AZ | Primary |
Addresses
Primary practice location
1910 S Stapley Dr Ste 101
Mesa, AZ 85204-6675
Mailing address
6601 W Thomas Rd
Phoenix, AZ 85033-5700
Phone (602) 243-7277
Other practice location 1
3530 S Val Vista Dr Ste B105
Gilbert, AZ 85297-7319
Phone (855) 776-7266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049461 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
483 W Seed Farm Rd
Hu Hu Kam Memorial Hosp
Sacaton, AZ 85147-0038
Phone (602) 528-1200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51031 | AZ | MD | Family Medicine Physician |
| 29343 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila River Regional Behavioral Health Authority | Current | Accepting new patients | |
| Gila River Health Care | Current | Accepting new patients | |
| Prosano Health Solutions, Inc. | Family Medicine | Current | Accepting new patients |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Prosano Health Solutions, Inc. | Family Medicine | Past | Accepting new patients |
Locations
17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000
48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881
1910 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 877-9284
Interoperability endpoints
- joshua.li.1@27165.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba Komatke Health Center
- Critical Access Hospital
- Laveen, AZ
- NPI 1376538231
TX
-
dba Thwajik Ke Outpatient Behavioral Health Services
- Community/Behavioral Health Agency
- Laveen, AZ
- NPI 1598021495
-
dba AK-Chin Clinic
- Rural Acute Care Hospital
- Maricopa, AZ
- NPI 1386633915
-
- Case Management Agency
- Sacaton, AZ
- NPI 1306971346
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hu Hu Kam Memorial Hospital
- Critical Access Hospital
- Sacaton, AZ
- NPI 1225023179
-
dba HuHuKam Memorial Hospital - EMS
- Ambulance
- Sacaton, AZ
- NPI 1851441075
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1326307547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850335700",
"telephone_number": "602-243-7277",
"fax_number": "623-247-9742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 S STAPLEY DR STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852046675",
"telephone_number": "855-776-7266",
"fax_number": "833-449-4001"
}
],
"practiceLocations": [
{
"address_1": "3530 S Val Vista Dr Ste B105",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852977319",
"country_code": "US",
"telephone_number": "855-776-7266",
"fax_number": "833-449-4001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LI",
"first_name": "JOSHUA",
"middle_name": "CALEB",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-08",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "29343",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "51031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049461",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.