Tao Li, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

6719045 Issued in UT

Practice address

3585 N University Ave
Ste #150
Provo, UT 84604-6601

Phone

(801) 356-6100

Fax

(801) 356-2113

NPI assigned

Dec 3, 2007

Last updated

Apr 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tao.li@319.chartlogic.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Millcreek Medical PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Murray, UT
  • NPI 1821558024
  NPD

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1376725143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 N UNIVERSITY AVE",
            "address_2": "STE #150",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046601",
            "telephone_number": "801-356-6100",
            "fax_number": "801-356-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 N UNIVERSITY AVE",
            "address_2": "STE #150",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046601",
            "telephone_number": "801-356-6100",
            "fax_number": "801-356-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "TAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "UT",
            "license": "6719045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Ann Lewis
• Lisa Lewis
• Matthew Lewis
• Micaela Lewis
• Todd J Lewis, OD
• Liberty Horizon Inc (HealthSource of North Provo)
• Marcia Kay Lidtke, FNP-C
• Allison Liechty, SSW
• Louise Lierman
• Life Enhancement Center

• Interventional Pain Medicine Physician in Provo, UT
• Providers in Provo, UT by specialty
• Interventional Pain Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.