Individual provider Active NPI

Jing Li, M.D.

  • Surgery Physician
  • Englewood, CO
National Provider Identifier
1629339312
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0074256 Issued in CO
Practice address
3535 S Lafayette St Ste 100
Englewood, CO 80113-3954
Phone
(800) 991-6117
Fax
(888) 812-8191
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 0074256 CO Primary
Vascular Surgery Physician 2086S0129X MD455370 PA
Vascular Surgery Physician 2086S0129X 304339 NY

Addresses

Primary practice location

3535 S Lafayette St Ste 100
Englewood, CO 80113-3954

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (800) 991-6117

Other practice location 1

6179 S Balsam Way Ste 200
Littleton, CO 80123-3093
Phone (800) 991-6117

Other practice location 2

1551 Professional Ln Unit 241
Longmont, CO 80501-6963
Phone (800) 991-6117

Other practice location 3

9195 Grant St Ste 300
Thornton, CO 80229-4386
Phone (800) 991-6117

Other practice location 4

5657 S Himalaya St Ste 210
Centennial, CO 80015-5309
Phone (800) 991-6117

Other practice location 5

25 Monument Rd Ste 145
York, PA 17403-5057
Phone (717) 851-6454

Other practice location 6

56-45 Main St
Department of Surgery, 5th Floor
Flushing, NY 11355
Phone (718) 690-1758

Other practice location 7

3665 John F Kennedy Pkwy Ste 200
Fort Collins, CO 80525-3152
Phone (800) 991-6117

Electronic endpoints 4

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
Direct Messaging Address uiz9004@direct.nyp.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200724000220 NY Practitioner - Vascular SurgeryPractitioner - Peripheral Vascular Disease 0749526572 Reassigns benefits to 1 organization
I20251110001817 CO Practitioner - General Surgery 0749526572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Medical Group PLLCGroup PAC ID 5890091409, 11 clinicians

Practice addresses (Care Compare)

3665 John F Kennedy Pkwy
Suite 200
Fort Collins, CO 80525-3152
Phone (813) 961-1331

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal103
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0074256COMDSurgery Physician
MD455370PAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital at Stony Brook Current Accepting new patients
Colorado Medical Group, PLLC Multi-Specialty CurrentSince Nov 1, 2025 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jul 25, 2022 Accepting new patients
New York Queens Medicine and Surgery, P.C. Multi-Specialty Current Accepting new patients
Colorado Medical Group, PLLC Multi-Specialty PastSince Oct 1, 2020 Accepting new patients

Locations

5657 S Himalaya St
Ste 210
Centennial, CO 80015

6979 S Holly Cir
Ste 125
Centennial, CO 80112

3535 S Lafayette St
Ste 100
Englewood, CO 80113
Phone (303) 788-0600

3665 John F Kennedy Pkwy
Bldg 200
Fort Collins, CO 80525

6179 S Balsam Way
Ste 200
Littleton, CO 80123
Phone (303) 933-2555

1551 Professional Ln
Unit 241
Longmont, CO 80501

9195 Grant St
Ste 300
Thornton, CO 80229
Phone (303) 280-2229

3810 Northdale Blvd
Ste 150
Tampa, FL 33624
Phone (813) 683-4784

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

3810 Northdale Blvd
Ste 260
Tampa, FL 33624

5645 Main St
Fl 5
Flushing, NY 11355
Phone (718) 640-8135

7568 187th St
Fl 1
Fresh Meadows, NY 11366
Phone (718) 303-6100

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

100 Nicolls Rd
Rm 90
Stony Brook, NY 11794

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

Interoperability endpoints

  • Direct secure messaging: jing.li@direct.stonybrookmedicine.edu

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

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            "fax_number": "717-851-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
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            "telephone_number": "718-690-1758",
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            "address_type": "DOM"
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            "postal_code": "805253152",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
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        "first_name": "JING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
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            "state": "CO",
            "license": "0074256",
            "primary": true
        },
        {
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            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD455370",
            "primary": false
        },
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            "taxonomy_group": "",
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            "state": "NY",
            "license": "304339",
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    "identifiers": [],
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            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
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            "contentTypeDescription": "Other",
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            "country_name": "United States",
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        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "uiz9004@direct.nyp.org",
            "affiliation": "N",
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            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
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            "address_2": "Department of Surgery, 5th Floor",
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    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.