Individual provider Active NPI

Thomas H Li, M.D.

  • Internal Medicine Physician
  • W Bloomfield, MI
National Provider Identifier
1649224403
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301072948 Issued in MI
Practice address
2300 Haggerty Rd Ste 2190
W Bloomfield, MI 48323-2192
Phone
(489) 601-1222
Fax
(248) 246-0506
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301072948 MI Primary

Addresses

Primary practice location

2300 Haggerty Rd Ste 2190
W Bloomfield, MI 48323-2192

Mailing address

2300 Haggerty Rd Ste 2190
W Bloomfield, MI 48323-2192
Phone (248) 960-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20071212000092 MI Practitioner - Internal Medicine 9133219348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2300 Haggerty Rd
Suite 2190
W Bloomfield, MI 48323-2192
Phone (248) 960-1122

Hospital & facility affiliations

  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301072948MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Living Internal Medicine PLLC Internal Medicine CurrentSince Dec 21, 2020 Accepting new patients

Locations

1 William Carls Dr
Ste 270
Commerce Township, MI 48382
Phone (313) 889-3456

2300 Haggerty Rd
Ste 2190
West Bloomfield, MI 48323
Phone (248) 960-1122

Interoperability endpoints

  • Direct secure messaging: thomas.li.1@32737.direct.athenahealth.com
  • Direct secure messaging: tli2@direct.dmc.org
  • Direct secure messaging: tli314978@direct.hfhs.org

Organizations & group practices 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1649224403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 2190",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232192",
            "telephone_number": "248-960-1122",
            "fax_number": "248-246-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 2190",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232192",
            "telephone_number": "489-601-1222",
            "fax_number": "248-246-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "THOMAS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301072948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.