Individual provider Active NPI

Yan Li, M.D., PH.D.

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1619932076
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K1863 Issued in TX
Practice address
4666 McDermott Rd Ste 100
Plano, TX 75024-7772
Phone
(972) 668-6868
Fax
(972) 668-1618
NPI assigned
Apr 19, 2006
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K1863 TX Primary

Addresses

Primary practice location

4666 McDermott Rd Ste 100
Plano, TX 75024-7772

Mailing address

4666 McDermott Rd Ste 100
Plano, TX 75024-7772
Phone (972) 668-6868

Other practice location 1

3413 Spectrum Blvd Ste 100
Richardson, TX 75082-9705
Phone (972) 668-6868

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
I20040325001344 TX Practitioner - Family Practice 7911899927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yan Li, MD., PHD., P.a.Group PAC ID 8224920228, 2 clinicians

Practice addresses (Care Compare)

4040 McDermott Rd
Suite 100
Plano, TX 75024-7735
Phone (972) 668-6868

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions11
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yan Li, MD., PHD., P.a. Family Medicine CurrentSince Dec 1, 2003 Accepting new patients
Nghi B Phan MD, PA Past Accepting new patients

Locations

5913 Virginia Pkwy
Ste 300
McKinney, TX 75071
Phone (972) 542-4646

4040 McDermott Rd
Plano, TX 75024
Phone (972) 668-6868

4040 McDermott Rd
Ste 100
Plano, TX 75024
Phone (972) 658-6868

4666 McDermott Rd
Ste 100
Plano, TX 75024
Phone (972) 668-6868

3413 Spectrum Blvd
#100
Richardson, TX 75082
Phone (972) 668-6868

Interoperability endpoints

  • Direct secure messaging: yan.li@omcyanli.eclinicaldirectplus.com

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, 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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1619932076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4666 MCDERMOTT RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247772",
            "telephone_number": "972-668-6868",
            "fax_number": "972-668-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4666 MCDERMOTT RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247772",
            "telephone_number": "972-668-6868",
            "fax_number": "972-668-1618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3413 Spectrum Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750829705",
            "country_code": "US",
            "telephone_number": "972-668-6868",
            "fax_number": "972-668-1618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "YAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-11-28",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.