NPIMap

Individual provider Active NPI

Yongxin Li, MD

  • Internal Medicine Physician
  • Orangeburg, SC
National Provider Identifier
1699867390
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20072 Issued in SC
Practice address
1750 Village Park Dr
Orangeburg, SC 29118-2457
Phone
(803) 395-4160
Fax
(803) 531-8810
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 12

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 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edisto Regional Health Services Inc 16 clinicians
Musc Community Physicians 1,353 clinicians

Practice addresses (Care Compare)

1750 Village Park Dr
Orangeburg, SC 29118-2457
Phone (803) 395-4160

Hospital & facility affiliations

  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000240 SC Practitioner - Internal Medicine 5991984684 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20072SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edisto Regional Health Services Inc. CurrentSince Oct 23, 2013 Accepting new patients
Edisto Regional Health Services Inc CurrentSince Oct 23, 2013 Accepting new patients
Edisto Regional Health Services Inc. Current Accepting new patients
Musc Community Physicians Internal Medicine CurrentSince May 15, 2023 Accepting new patients
Musc Community Physicians CurrentSince May 15, 2023 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

187 Bunch Ford Rd
Holly Hill, SC 29059
Phone (803) 395-3068

4631 Savannah Hwy
North, SC 29112
Phone (803) 247-2428

1750 Village Park Dr
Orangeburg, SC 29118
Phone (803) 395-4160

635 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-7500

Interoperability endpoints

  • Direct secure messaging: yli442665@direct.musc.edu

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20072 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

1750 Village Park Dr
Orangeburg, SC 29118-2457

Mailing address

PO Box 1245
Orangeburg, SC 29116-1245
Phone (803) 395-4497

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
20072-1MedicaidSC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2015.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1699867390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291161245",
            "telephone_number": "803-395-4497",
            "fax_number": "803-395-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 VILLAGE PARK DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182457",
            "telephone_number": "803-395-4160",
            "fax_number": "803-531-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "YONGXIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "20072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20072-1",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.