Individual provider Active NPI

James Li, MD

  • Ophthalmology Physician
  • Daytona Beach, FL
National Provider Identifier
1396373668
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME166861 Issued in FL
Practice address
505 Health Blvd
Daytona Beach, FL 32114-1493
Phone
(386) 255-5050
Fax
(386) 255-5029
NPI assigned
Mar 31, 2020
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME166861 FL Primary

Addresses

Primary practice location

505 Health Blvd
Daytona Beach, FL 32114-1493

Mailing address

4089 Sand Ridge Dr
Merritt Island, FL 32953-8611
Phone (504) 491-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240327002718 FL Practitioner - Ophthalmology 2860816063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digaetano Cataract Services PAGroup PAC ID 8527965425, 3 clinicians

Practice addresses (Care Compare)

505 Health Blvd
Daytona Beach, FL 32114-1493
Phone 3862555050104

Merit-based Incentive Payment System (MIPS)

Final score
78.03 of 100Reported as group
Quality
94.48
Improvement activities
40
Cost
34.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME166861FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digaetano Cataract Services PA Ophthalmology CurrentSince May 1, 2024 Accepting new patients

Locations

505 Health Blvd
Daytona Beach, FL 32114
Phone (386) 255-5050

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1396373668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4089 SAND RIDGE DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538611",
            "telephone_number": "504-491-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 HEALTH BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141493",
            "telephone_number": "386-255-5050",
            "fax_number": "386-255-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME166861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.