NPIMap

Individual provider Active NPI

Shiau Rung Li, PA-C

  • Medical Physician Assistant
  • Columbia, MD
National Provider Identifier
1528109196
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0003487 Issued in MD
Practice address
10724 Little Patuxent Pkwy
Suite 200
Columbia, MD 21044-3106
Phone
(410) 997-5944
Fax
(410) 992-0308
NPI assigned
Feb 8, 2007
Last updated
Mar 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0003487 MD Primary

Addresses

Primary practice location

10724 Little Patuxent Pkwy
Suite 200
Columbia, MD 21044-3106

Mailing address

5814 Ipswich Rd
Bethesda, MD 20814-1808
Phone (571) 201-3296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090225000512 MD Practitioner - Physician Assistant 1658437785 Reassigns benefits to 3 organizations
I20100415000274 DC Practitioner - Physician Assistant 1658437785 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Critical Care Medicine Services East, LLCGroup PAC ID 1850783440, 35 clinicians

Practice addresses (Care Compare)

1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800

11890 Healing Way
Silver Spring, MD 20904-7917
Phone (240) 637-5070

5755 Cedar LN
Columbia, MD 21044-2912
Phone (410) 884-4644

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-7578

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians CurrentSince Mar 1, 2021 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Mar 1, 2021 Accepting new patients
Synergy Medical Group LLC CurrentSince Aug 2, 2024 Accepting new patients
Synergy Medical Group LLC CurrentSince Aug 2, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 6, 2019 Accepting new patients
Synergy Medical Group LLC CurrentSince Aug 2, 2024 Accepting new patients
Pulmonary Disease and Critical Care Associates, PA., Past Accepting new patients
Emergency Medicine Associates P.a., P.C. Past Accepting new patients
Synergy Medical Group LLC Past Accepting new patients
Johns Hopkins Emergency Medical Past Accepting new patients
Pulmonary Disease and Critical Care Associates, P.a. Past Accepting new patients

Locations

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

299 Hurley Ave
Rockville, MD 20850
Phone (301) 762-8900

1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: sli1144265@direct.trinity-health.org
  • Direct secure messaging: sli53173@direct.hopkinsmedicine.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1528109196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 IPSWICH RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141808",
            "telephone_number": "571-201-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10724 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443106",
            "telephone_number": "410-997-5944",
            "fax_number": "410-992-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "SHIAU RUNG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.