Individual provider Active NPI

Andraia Ruoxun Li, MD

  • Dermatology Physician
  • North Richland Hills, TX
National Provider Identifier
1497336002
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
LL87913 Issued in SC
Practice address
8169 Precinct Line Rd BLDG 2
North Richland Hills, TX 76182-8607
Phone
(817) 427-3376
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X LL87913 SC Primary

Addresses

Primary practice location

8169 Precinct Line Rd BLDG 2
North Richland Hills, TX 76182-8607

Mailing address

8169 Precinct Line Rd BLDG 2
North Richland Hills, TX 76182-8607
Phone (817) 427-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20221206002082 SC Order and Referring Only - Family PracticePractitioner - Family Practice 5698144160

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Dermatology, PA Dermatology CurrentSince Sep 1, 2026 Accepting new patients

Locations

8169 Precinct Line Rd
Bldg 2
North Richlnd Hls, TX 76182
Phone (214) 535-5316

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1497336002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8169 PRECINCT LINE RD BLDG 2",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828607",
            "telephone_number": "817-427-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 PRECINCT LINE RD BLDG 2",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828607",
            "telephone_number": "817-427-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "ANDRAIA",
        "middle_name": "RUOXUN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "LL87913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.