Xiaolu (Sherry) Li, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

909 E Grant St
Macomb, IL 61455-3371

Phone

(309) 837-2000

Fax

(309) 837-2272

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 26, 2018 through Jul 26, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Macomb Medical Associates, LLC

  • Orthopaedic Surgery Physician
  • Macomb, IL
  • NPI 1568523314
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396810644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E GRANT ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553371",
            "telephone_number": "309-837-2000",
            "fax_number": "309-837-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E GRANT ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553371",
            "telephone_number": "309-837-2000",
            "fax_number": "309-837-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "XIAOLU (SHERRY)",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "05532018",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeview Medical & Psychiatric Healthcare LLC
• Lamoine Valley Clinic, S. C.
• Andrea B. Lawrence, APRN
• Kathy E Lee, MSED, LCPC, CADC,
• Brooke Julianna Levister, PHARM. D.
• Victor Erude Lidaywa, DPT
• Lifeguard Ambulance Service of Illinois Inc.
• Lifetime Dental Care of Illinois, PC
• An-Shih Lin, M.D.
• Ashley Monita Lippens, LCSW

• Family Medicine Physician in Macomb, IL
• Providers in Macomb, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.