Individual provider Active NPI

Janet Yiwen Li, M.D.

  • MOHS-Micrographic Surgery Physician
  • Houston, TX
National Provider Identifier
1609212158
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
R5424 Issued in TX
Practice address
11914 Astoria Blvd Ste 570
Houston, TX 77089-6079
Phone
(281) 481-0033
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X R5424 TX Primary

Addresses

Primary practice location

11914 Astoria Blvd Ste 570
Houston, TX 77089-6079

Mailing address

11914 Astoria Blvd Ste 570
Houston, TX 77089-6079
Phone (281) 481-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180625002703 TX Practitioner - Dermatology 6406127539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Dermatology, P.a.Group PAC ID 5193715571, 12 clinicians

Practice addresses (Care Compare)

11914 Astoria Blvd
Suite 570
Houston, TX 77089-6079
Phone 2814810033205

Hospital & facility affiliations

  • Stat Home Health Houston Bellaire, LLC Home health agency, Pearland, TX, CCN 457537

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision135
Removal of skin lesions36
Removal of skin cancer670
Removal of nail tissue1-10
Skin biopsy22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5424TXMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Dermatology, P.a. Dermatology CurrentSince Aug 19, 2019 Accepting new patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Jul 1, 2018 Accepting new patients

Locations

8210 Walnut Hill Ln
Ste 810
Dallas, TX 75231
Phone (214) 363-1885

6117 Berkshire Ln
Dallas, TX 75225
Phone (214) 373-3376

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

2321 Ira E Woods Ave
Ste 180
Grapevine, TX 76051
Phone (817) 329-2263

11914 Astoria Blvd
Ste 570
Houston, TX 77089
Phone (281) 481-0033

4419 Crenshaw Rd
Pasadena, TX 77504
Phone (281) 481-0033

5026 Tennyson Pkwy
Plano, TX 75024
Phone (469) 200-6100

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

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 1

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": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1609212158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD STE 570",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896079",
            "telephone_number": "281-481-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD STE 570",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896079",
            "telephone_number": "281-481-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JANET",
        "middle_name": "YIWEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "R5424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.