Active NPI
Xinyu Li
- Physician Assistant
- Philadelphia, PA
National Provider Identifier
1679443691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA067200
- Practice address
- 1010 Cottman Ave
Philadelphia, PA 19111-3644 - Phone
- (215) 970-9500
- NPI assigned
- Nov 5, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA067200 | PA | Primary |
Addresses
Primary practice location
1010 Cottman Ave
Philadelphia, PA 19111-3644
Mailing address
3010 Princeton Ave
Philadelphia, PA 19149-1412
Phone (646) 331-3208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3010 Princeton Ave
Philadelphia, PA 19149-1412
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA067200 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Urgent Care LLC | Current | Accepting new patients |
Locations
1010 Cottman Ave
Philadelphia, PA 19111
Phone (215) 970-9500
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.
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1831781509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1679443691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 PRINCETON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191491412",
"telephone_number": "646-331-3208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 COTTMAN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191113644",
"telephone_number": "215-970-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "XINYU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-05",
"last_updated": "2025-11-07",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA067200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.