Individual provider Active NPI

Yan Li, MD

  • Cardiovascular Disease Physician
  • Tarrytown, NY
National Provider Identifier
1578660304
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
223759 Issued in NY
Practice address
150 White Plains Rd
Suite 200
Tarrytown, NY 10591-5535
Phone
(914) 631-2896
Fax
(914) 631-0094
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 223759 NY Primary

Addresses

Primary practice location

150 White Plains Rd
Suite 200
Tarrytown, NY 10591-5535

Mailing address

150 White Plains Rd
Suite 200
Tarrytown, NY 10591-5535
Phone (914) 631-2896

Other identifiers 2

IdentifierTypeStateIssuer
689Q51OtherNYBLUE CROSS BLUE SHIELD
02758450MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070222000601 NY Practitioner - Cardiovascular Disease (Cardiology) 8628170578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Tufts University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (914) 366-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Cardiovascular Disease CurrentSince Jan 1, 2009 Accepting new patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Nov 26, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Jan 1, 2009 Accepting new patients
Montefiore Medical Center Cardiovascular Disease Past Accepting new patients

Locations

465 N State Rd
Briarcliff Manor, NY 10510
Phone (914) 762-5810

111 E 210th St
Bronx, NY 10467

11 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 269-1990

11 Ashford Ave
Fl 2
Dobbs Ferry, NY 10522
Phone (914) 269-1990

300 Community Dr
Plandome, NY 11030

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

777 N Broadway
Ste 305
Sleepy Hollow, NY 10591
Phone (914) 366-6120

200 S Broadway
Tarrytown, NY 10591
Phone (914) 631-1166

150 White Plains Rd
Ste 200
Tarrytown, NY 10591
Phone (914) 631-2895

200 S Broadway
Ste E
Tarrytown, NY 10591
Phone (914) 631-2895

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: yli64479@northwell.direct-ci.com
  • Direct secure messaging: yli@montefioredirect.com

Organizations & group practices 4

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 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1578660304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WHITE PLAINS RD",
            "address_2": "SUITE 200",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915535",
            "telephone_number": "914-631-2896",
            "fax_number": "914-631-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WHITE PLAINS RD",
            "address_2": "SUITE 200",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915535",
            "telephone_number": "914-631-2896",
            "fax_number": "914-631-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "YAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "223759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "689Q51",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02758450",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.