NPIMap

Individual provider Active NPI

Kai Li, MD

  • Internal Medicine Physician
  • Oregon City, OR
National Provider Identifier
1427153238
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD26746 Issued in OR
Practice address
1001 Molalla Ave Ste 100
Oregon City, OR 97045-3753
Phone
(503) 656-5273
Fax
(503) 650-4828
NPI assigned
Sep 14, 2006
Last updated
May 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD26746 OR Primary

Addresses

Primary practice location

1001 Molalla Ave Ste 100
Oregon City, OR 97045-3753

Mailing address

6 Centerpointe Dr Ste 200
Lake Oswego, OR 97035-8660
Phone (503) 797-2268

Other identifiers 1

IdentifierTypeStateIssuer
240159MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061212000184 OR Practitioner - Internal Medicine 5294734737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Sanford School of Medicine of University of South Dakota, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Praxis Health PCGroup PAC ID 8325941446, 174 clinicians

Practice addresses (Care Compare)

1001 Molalla Ave
Suite 100
Oregon City, OR 97045-3753
Phone (503) 626-5273

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26746ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon Internal Medicine CurrentSince Nov 1, 2014 Accepting new patients
Praxis Health, PC Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Providence Health & Services - Oregon Internal Medicine Current Accepting new patients
Praxis Health, PC CurrentSince Jul 1, 2018 Accepting new patients

Locations

4510 SW Hall Blvd
Beaverton, OR 97005
Phone (503) 644-1171

200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550

1488 Oak St
Eugene, OR 97401
Phone (541) 431-0000

1001 Molalla Ave
Ste 100
Oregon City, OR 97045
Phone (503) 656-5273

1500 Division St
Oregon City, OR 97045
Phone (503) 646-1631

13200 SW Pacific Hwy
Tigard, OR 97223
Phone (503) 598-2000

Interoperability endpoints

  • Direct secure messaging: kli@pacificmedicalgroup.directbygreenway.com

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1427153238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CENTERPOINTE DR STE 200",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358660",
            "telephone_number": "503-797-2268",
            "fax_number": "503-234-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MOLALLA AVE STE 100",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453753",
            "telephone_number": "503-656-5273",
            "fax_number": "503-650-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "KAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD26746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240159",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

Verify at the official NPI Registry.