Individual provider Active NPI

Tianyang Li

  • Diagnostic Radiology Physician
  • New Haven, CT
National Provider Identifier
1629484068
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
63777 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 688-1010
NPI assigned
Jul 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 63777 CT Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

4777 E. Galbraith Road
Cincinnati, OH 45236
Phone (513) 686-5446

Other practice location 1

4777 E. Galbraith Road
Cincinnati, OH 45236
Phone (513) 686-5446

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
I20200605001347 NY Practitioner - Diagnostic Radiology 2668708744 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunset Park Radiology PCGroup PAC ID 6608247291, 32 clinicians
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians
Radiology Associates of Main Street PCGroup PAC ID 5799677522, 52 clinicians

Practice addresses (Care Compare)

15459 Riverside Dr
Beechhurst, NY 11357-1339
Phone (212) 965-9888

181 N Belle Mead Rd
East Setauket, NY 11733-3495
Phone (631) 246-5860

21 Ivy Close
Forest Hills, NY 11375-6020
Phone (718) 670-1050

3225 Francis Lewis Blvd
Flushing, NY 11358-1922
Phone (718) 428-1500

5521 8TH Ave
FL 6
Brooklyn, NY 11220-3515
Phone (718) 928-2588

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Oct 12, 2025 Accepting new patients
Sunset Park Radiology PC Diagnostic Radiology CurrentSince Feb 20, 2024 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Radiology Associates of Main Street PC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Feb 15, 2022 Accepting new patients

Locations

2330 Eastchester Rd
Bronx, NY 10469
Phone (718) 228-0063

5521 8th Ave
Fl 6
Brooklyn, NY 11220
Phone (718) 928-2588

3225 Francis Lewis Blvd
Flushing, NY 11358
Phone 61421018851070

7206 Northern Blvd
Jackson Heights, NY 11372
Phone (718) 670-1512

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

181 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 444-0624

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

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

Interoperability endpoints

  • Direct secure messaging: til9048@direct.nyp.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1629484068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 E. GALBRAITH ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45236",
            "telephone_number": "513-686-5446",
            "fax_number": "513-686-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4777 E. Galbraith Road",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45236",
            "country_code": "US",
            "telephone_number": "513-686-5446",
            "fax_number": "513-686-5443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "TIANYANG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "63777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.