Active NPI
Jonathan Li, MD
- Urology Physician
- Falmouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 1015932
- Practice address
- 19 Bramble Bush Dr
Falmouth, MA 02540-2325 - Phone
- (508) 540-7555
- NPI assigned
- Apr 8, 2018
- Last updated
- Aug 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 1015932 | MA | Primary |
Addresses
Primary practice location
19 Bramble Bush Dr
Falmouth, MA 02540-2325
Mailing address
32 James St
Lexington, MA 02420-1130
Phone (781) 698-7415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1700 Hospital S Dr
Austell, GA 30106-8116
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4022
4441 Atlanta Rd SE
Smyrna, GA 30080-6443
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
55 Whitcher Nest
Marietta, GA 30060-1169
Phone (770) 428-4475
55 Whitcher St
Suite 260
Marietta, GA 30060-1169
Phone (943) 202-7050
601 S 8TH St
Griffin, GA 30224-4213
Phone (770) 228-2721
625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004
677 Church Nest
Marietta, GA 30060-1101
677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585
Hospital & facility affiliations
- Wellstar Cobb Medical Center
- Wellstar Kennestone Regional Medical Center
- Cape Cod Hospital
- Wellstar Paulding Medical Center
- Wellstar Douglas Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Brockton Urology Clinic Inc | Urology | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Gbu Steward LLC | Urology | Past | Accepting new patients |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients |
Locations
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100
1700 Hospital South Dr
Ste 404
Austell, GA 30106
Phone (404) 645-8271
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
4441 Atlanta Rd SE
Ste 317
Smyrna, GA 30080
Phone (470) 956-4220
19 Bramble Bush Dr
Falmouth, MA 02540
Phone (508) 540-7555
700 Attucks Ln
Unit 2A
Hyannis, MA 02601
Phone (508) 771-7272
31 Roche Brothers Way
Ste 100
North Easton, MA 02356
Phone (508) 238-0800
Organizations & group practices 6
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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Urology Physician
- Dedham, MA
- NPI 1003120411
-
- Urology Physician
- North Easton, MA
- NPI 1336147438
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Urology Physician
- North Easton, MA
- NPI 1275064909
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
dba Wellstar Douglas Hospital
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
dba Wellstar Paulding Hospital
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1659878577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 JAMES ST",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024201130",
"telephone_number": "781-698-7415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BRAMBLE BUSH DR",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "025402325",
"telephone_number": "508-540-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MA",
"license": "1015932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.