Xiao Rui Li, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01055296A Issued in IN

Practice address

7905 Calumet Ave
Hammond Clinic LLC
Munster, IN 46321-1215

Phone

(219) 836-7214

Fax

(219) 836-4678

NPI assigned

Jun 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: xli64284@direct.franciscanalliance.org

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.

• Hammond Clinic LLC

  • Multi-Specialty Clinic/Center
  • Munster, IN
  • NPI 1366489049
  NPD
• Franciscan Hammond Clinic LLC

  • Internal Medicine Physician
  • Munster, IN
  • NPI 1861791782
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1730122748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 CALUMET AVE",
            "address_2": "HAMMOND CLINIC LLC",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211215",
            "telephone_number": "219-836-7214",
            "fax_number": "219-836-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "XIAO",
        "middle_name": "RUI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01055296A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200358670",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "473060P4",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xli64284@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7905 Calumet Ave",
            "address_2": "Hammond Clinic LLC",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463211215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carl A. Levy, M.D
• Aaliyah Lewis-Washington
• Cameron Lewis
• Eva Li, PA-C
• Mei Li, MD
• Maria Anna Liberio, DPT
• Melanie K Libersher, FNP-BC
• Robin Louise Lidston, LMHC
• Samantha Lilley
• Abbie Gail Dominguez Lim, NP

• Internal Medicine Physician in Munster, IN
• Providers in Munster, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.