Individual provider Active NPI

Jianqing Li, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Mineola, NY
National Provider Identifier
1487856217
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
NY280554 Issued in NY
Practice address
120 Mineola Blvd
Suite 500
Mineola, NY 11501-4064
Phone
(516) 663-4480
Fax
(516) 663-2054
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X NY280554 NY Primary

Addresses

Primary practice location

120 Mineola Blvd
Suite 500
Mineola, NY 11501-4064

Mailing address

120 Mineola Blvd
Suite 500
Mineola, NY 11501-4064
Phone (516) 663-4480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170922002894 OH Practitioner - Cardiac Electrophysiology 9739494659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders Two LLCGroup PAC ID 6608828447, 222 clinicians

Practice addresses (Care Compare)

85 McNaughten Rd
Suite 300
Columbus, OH 43213-5112
Phone 61462720006

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Mount Carmel Dublin Hospital, Dublin, OH, CCN 360375
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
75.57
Promoting interoperability
79
Improvement activities
40
Cost
73.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NY280554NYMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Two LLC CurrentSince Nov 1, 2017 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Nov 1, 2017 Accepting new patients

Locations

85 McNaughten Rd
Ste 300
Columbus, OH 43213
Phone 61462720006

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

85 McNaughten Rd
Ste 200
Columbus, OH 43213
Phone (614) 759-1186

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

1945 Newark Granville Rd
Granville, OH 43023
Phone (614) 627-1870

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

5300 N Meadows Dr
Ste 280
Grove City, OH 43123
Phone (614) 234-8860

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

477 Cooper Rd
Ste 200
Westerville, OH 43081
Phone (614) 459-7676

Interoperability endpoints

  • Direct secure messaging: jli1161519@direct.trinity-health.org

Organizations & group practices 2

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 9

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1487856217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MINEOLA BLVD",
            "address_2": "SUITE 500",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014064",
            "telephone_number": "516-663-4480",
            "fax_number": "516-663-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MINEOLA BLVD",
            "address_2": "SUITE 500",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014064",
            "telephone_number": "516-663-4480",
            "fax_number": "516-663-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JIANQING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NY",
            "license": "NY280554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.