Individual provider Active NPI

Ting Li, MD

  • Pediatrics Physician
  • Harrison, AR
National Provider Identifier
1730337452
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0070075 Issued in MD
Practice address
1401 Hwy 65 North
Suite 110
Harrison, AR 72601
Phone
(870) 414-4022
Fax
(870) 414-2023
NPI assigned
Sep 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0070075 MD Primary

Addresses

Primary practice location

1401 Hwy 65 North
Suite 110
Harrison, AR 72601

Mailing address

1401 Hwy 65 North
Suite 110
Harrison, AR 72601
Phone (870) 414-4022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240405001264 MO Practitioner - Pediatric Medicine 2062717416 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0070075MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Apr 1, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 1, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 1, 2024 Accepting new patients
North Arkansas Regional Medical Center PastSince Oct 1, 2023 Accepting new patients
Mercy Hospital Lebanon Past Accepting new patients

Locations

120 Hospital Dr
Ste 300350
Lebanon, MO 65536
Phone (417) 533-6746

120 Hospital Dr
Ste 350
Lebanon, MO 65536
Phone (417) 533-6729

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1730337452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HWY 65 NORTH",
            "address_2": "SUITE 110",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-414-4022",
            "fax_number": "870-414-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HWY 65 NORTH",
            "address_2": "SUITE 110",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-414-4022",
            "fax_number": "870-414-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "TING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-06",
        "last_updated": "2024-02-26",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0070075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.