NPIMap

Individual provider Active NPI

Tsung Tsuan Li, M.D.

  • Otolaryngology Physician
  • Berkeley, CA
National Provider Identifier
1568425148
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G74650 Issued in CA
Practice address
2316 Dwight Way Ste 1
Berkeley, CA 94704-2212
Phone
(510) 845-4500
Fax
(510) 845-0360
NPI assigned
Apr 6, 2006
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G74650 CA Primary

Addresses

Primary practice location

2316 Dwight Way Ste 1
Berkeley, CA 94704-2212

Mailing address

2316 Dwight Way Ste 1
Berkeley, CA 94704-2212
Phone (510) 845-4500

Other identifiers 2

IdentifierTypeStateIssuer
012531OtherCAHILLS PHYSICIANS
G74650OtherCAALTA BATES MEDICAL GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080409000757 CA Practitioner - Otolaryngology 0648357053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Massachusetts Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

2316 Dwight Way
Berkeley, CA 94704-2212
Phone (510) 845-4500

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512

365 Lennon LN
Walnut Creek, CA 94598-5915

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74650CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jan 1, 2020 Accepting new patients
Alameda Health System CurrentSince Jul 22, 2022 Accepting new patients
Bass Medical Group Otolaryngology Current Accepting new patients
Alameda Health System CurrentSince Jul 22, 2022 Accepting new patients
Alameda Health System Otolaryngology Current Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Bass Medical Group Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Alameda Health System Past Accepting new patients

Locations

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tli161456@hisp.ehr.sutterhealth.org
  • Direct secure messaging: tli45929@ehr.johnmuirhealth.com

Organizations & group practices 10

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 5

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1568425148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 DWIGHT WAY STE 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042212",
            "telephone_number": "510-845-4500",
            "fax_number": "510-845-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 DWIGHT WAY STE 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042212",
            "telephone_number": "510-845-4500",
            "fax_number": "510-845-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "TSUNG",
        "middle_name": "TSUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G74650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HILLS PHYSICIANS",
            "identifier": "012531",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTA BATES MEDICAL GROUP",
            "identifier": "G74650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.