Organization Active NPI

Li J Voepel MD PA

  • Physical Medicine & Rehabilitation Physician
  • Melbourne, FL
National Provider Identifier
1336526029
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME85032 Issued in FL
Legal business name
LI J VOEPEL MD PA
Practice address
4015 N Harbor City Blvd
Melbourne, FL 32935-5794
Phone
(321) 821-6893
Fax
(772) 228-8332
NPI assigned
May 1, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Li J Voepel, MD
Title
President
Phone
(321) 821-6893

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME85032 FL Primary
Pain Medicine Physician 208VP0000X ME85032 FL

Addresses

Primary practice location

4015 N Harbor City Blvd
Melbourne, FL 32935-5794

Mailing address

4015 N Harbor City Blvd
Melbourne, FL 32935-5794
Phone (321) 821-6893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150701001629 FL Part B Supplier - Clinic/Group Practice 5193037356 Receives reassigned benefits from 3 practitioners
Practice locations: Melbourne, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2095172Li J Voepel MD PA4015 N Harbor City Blvd, Melbourne, FL 32935Certificate of waiverApr 30, 2027

National Provider Directory

National Provider Directory

Locations

4015 N Harbor City Blvd
Melbourne, FL 32935
Phone (321) 821-6893

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336526029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 N HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355794",
            "telephone_number": "321-821-6893",
            "fax_number": "772-228-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 N HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355794",
            "telephone_number": "321-821-6893",
            "fax_number": "772-228-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI J VOEPEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VOEPEL",
        "authorized_official_first_name": "LI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-821-6893",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME85032",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME85032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.