Individual provider Active NPI

Joe Li, DO

  • Family Medicine Physician
  • Fairfield, CT
National Provider Identifier
1396494464
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
81354 Issued in CT
Practice address
425 Post Rd Ste 201
Fairfield, CT 06824-6232
Phone
(866) 592-2450
NPI assigned
Mar 23, 2022
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 81354 CT Primary

Addresses

Primary practice location

425 Post Rd Ste 201
Fairfield, CT 06824-6232

Mailing address

425 Post Rd Ste 201
Fairfield, CT 06824-6232

Other practice location 1

230 W 17th St
New York, NY 10011-5325
Phone (212) 206-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20250822002423 CT Practitioner - Family Practice 5991205056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Vincents Urgent Care LLCGroup PAC ID 6901119767, 43 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

401 Monroe Tpke
Monroe, CT 06468-2276
Phone (203) 268-2501

425 Post Rd
Fairfield, CT 06824-6232
Phone (203) 254-2452

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81354CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Sep 1, 2025 Accepting new patients
St. Vincents Urgent Care LLC Family Medicine CurrentSince Nov 15, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 1, 2025 Accepting new patients
St. Vincents Urgent Care LLC Family Medicine CurrentSince Nov 15, 2025 Accepting new patients

Locations

425 Post Rd
Fairfield, CT 06824
Phone (203) 255-4545

425 Post Rd
Ste 201
Fairfield, CT 06824
Phone (475) 210-4350

401 Monroe Tpke
Monroe, CT 06468
Phone (203) 261-1727

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Organizations & group practices 4

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1396494464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 POST RD STE 201",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 POST RD STE 201",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246232",
            "telephone_number": "866-592-2450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 W 17th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100115325",
            "country_code": "US",
            "telephone_number": "212-206-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "JOE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "81354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.