Individual provider Active NPI

Ina Li, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Wilmington, DE
National Provider Identifier
1437146180
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
C1-0008092 Issued in DE
Practice address
1401 Foulk Rd
Suite 100
Wilmington, DE 19803-2763
Phone
(302) 477-4511
Fax
(302) 428-6390
NPI assigned
Sep 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X A78650 CA
Geriatric Medicine (Family Medicine) Physician 207QG0300X C1-0008092 DE Primary

Addresses

Primary practice location

1401 Foulk Rd
Suite 100
Wilmington, DE 19803-2763

Mailing address

695 Meadowbrook LN
Media, PA 19063-4212
Phone (484) 442-8355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20061102000314 DE Practitioner - Family PracticePractitioner - Geriatric Medicine 2668476490 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

1401 Foulk Rd
Suite 100B
Wilmington, DE 19803-2764
Phone (302) 477-3300

501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 320-4410

Hospital & facility affiliations

  • Christianacare Homehealth Home health agency, Wilmington, DE, CCN 087002
  • Bayada Home Health Care, Inc Home health agency, Wilmington, DE, CCN 087021
  • Amedisys Delaware, LLC Home health agency, Dover, DE, CCN 087007
  • Christianacare Accentcare Hosp & Palliative Care Hospice, Newark, DE, CCN 081508
  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • St Francis Hospital Hospital, Wilmington, DE, CCN 080003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0008092DEMDGeriatric Medicine (Family Medicine) Physician
A78650CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Geriatric Medicine CurrentSince Aug 1, 2006 Accepting new patients
Christiana Care Health Services Inc Geriatric Medicine CurrentSince Oct 1, 2015 Accepting new patients
Christiana Care Health Initiatives Geriatric Medicine Current Accepting new patients
Christiana Care Health Initiatives CurrentSince Oct 1, 2015 Accepting new patients
Christiana Care Health Initiatives CurrentSince Oct 1, 2015 Accepting new patients
Christiana Care Health Services, Inc Geriatric Medicine CurrentSince Aug 1, 2006 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc Geriatric Medicine CurrentSince Dec 1, 2014 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 1, 2006 Accepting new patients
Jefferson University Physicians Past Accepting new patients
Jefferson Medical Care, PC Geriatric Medicine Past Accepting new patients

Locations

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

239 Christiana Rd
Ofc
New Castle, DE 19720
Phone (302) 327-7630

1901 N Market St
Ste 200
Wilmington, DE 19802
Phone (302) 421-2700

501 W 14th St
Ste 1E40
Wilmington, DE 19801
Phone (302) 320-2100

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

1401 Foulk Rd
Ste 100
Wilmington, DE 19803
Phone (267) 975-2199

1400 N Washington St
Wilmington, DE 19801
Phone (302) 255-1300

Organizations & group practices 11

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.

Hospital & facility affiliations 10

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": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1437146180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 MEADOWBROOK LN",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634212",
            "telephone_number": "484-442-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FOULK RD",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032763",
            "telephone_number": "302-477-4511",
            "fax_number": "302-428-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "INA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-28",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A78650",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "DE",
            "license": "C1-0008092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.