Individual provider Active NPI

Dayuan Li, MD, PHD

  • Cardiovascular Disease Physician
  • Saint Paul, MN
National Provider Identifier
1679776223
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
53941 Issued in MN
Practice address
1700 University Ave W FL 6
Saint Paul, MN 55104-3727
Phone
(651) 232-2273
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101242621 VA
Student in an Organized Health Care Education/Training Program 390200000X 0116019093 VA
Cardiovascular Disease Physician 207RC0000X 53941 MN Primary

Addresses

Primary practice location

1700 University Ave W FL 6
Saint Paul, MN 55104-3727

Mailing address

10122 Powers Lake TRL
Woodbury, MN 55129-8589
Phone (434) 973-9178

Other identifiers 4

IdentifierTypeStateIssuer
302011OtherVAANTHEM
1679776223MedicaidVA
9239107OtherVAAETNA
7389041OtherVACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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
I20110608000588 MN Practitioner - Cardiovascular Disease (Cardiology) 3375629645 Reassigns benefits to 8 organizations
I20241125002863 WI Practitioner - Cardiovascular Disease (Cardiology) 3375629645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healtheast Medical Research InstituteGroup PAC ID 3971407636, 665 clinicians
Fairview Express CareGroup PAC ID 3375645179, shared by 8 NPIs, 1,946 clinicians
Winona Health ServicesGroup PAC ID 8527977420, 160 clinicians

Practice addresses (Care Compare)

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 232-7000

1600 Saint Johns Blvd
Suite 200
Maplewood, MN 55109-1190
Phone (651) 326-2328

1700 University Ave W
Saint Paul, MN 55104-3727

1875 Woodwinds Dr
Suite 240
Woodbury, MN 55125-2517
Phone (651) 326-2328

2651 Hillcrest Dr
Suite 302
Hudson, WI 54016-9919
Phone (612) 365-5000

606 24TH Ave S
Minneapolis, MN 55454-1455
Phone (612) 884-0649

855 Mankato Ave
Winona, MN 55987-4868
Phone (507) 454-3650

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422

Hospital & facility affiliations

  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210
  • M Health Fairview Woodwinds Hospital Hospital, Woodbury, MN, CCN 240213
  • Winona Health Services Hospital, Winona, MN, CCN 240044
  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101242621VAMDInternal Medicine Physician
0116019093VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Care System CurrentSince Jul 1, 2011 Accepting new patients
Fairview Express Care CurrentSince Apr 1, 2020 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Bethesda Hospital CurrentSince Jul 1, 2011 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Jul 1, 2011 Accepting new patients
Fairview Express Care Current Accepting new patients
Healtheast Medical Research Insititue Internal Medicine CurrentSince Jul 1, 2011 Accepting new patients
Fairview Express Care CurrentSince Jun 13, 2024 Accepting new patients
Winona Health Services CurrentSince Oct 1, 2020 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast St. John'S Hospital CurrentSince Jul 1, 2011 Accepting new patients
Fairview Health Services Current Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Jul 1, 2011 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Jun 13, 2024 Accepting new patients
Fairview Health Services CurrentSince Apr 1, 2020 Accepting new patients
Fairview Clinics CurrentSince Apr 1, 2020 Accepting new patients
Fairview Express Care CurrentSince Apr 1, 2020 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2024 Accepting new patients
Commonwealth Hosp SVCS Internal Medicine Past Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1600 Saint Johns Blvd
Ste 200
Saint Paul, MN 55109
Phone (651) 326-4327

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

2651 Hillcrest Dr
Ste 302
Hudson, WI 54016
Phone (651) 241-5290

Interoperability endpoints

  • Direct secure messaging: dli501995@fairview.direct-ci.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 6

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1679776223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10122 POWERS LAKE TRL",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551298589",
            "telephone_number": "434-973-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W FL 6",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "telephone_number": "651-232-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "DAYUAN",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101242621",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116019093",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "53941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "302011",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679776223",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9239107",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7389041",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.