Individual provider Active NPI

Michael Yang Li, MD PHD

  • Gastroenterology Physician
  • Flushing, NY
National Provider Identifier
1770547630
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
214851-1 Issued in NY
Practice address
136-20 38 Ave
Suite 6F
Flushing, NY 11354-4263
Phone
(718) 888-9700
Fax
(718) 888-9796
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 214851-1 NY Primary

Addresses

Primary practice location

136-20 38 Ave
Suite 6F
Flushing, NY 11354-4263

Mailing address

13620 38TH Ave
Suite 6F
Flushing, NY 11354-4233
Phone (718) 888-9700

Other identifiers 1

IdentifierTypeStateIssuer
02213427MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040428001515 NY Practitioner - AnesthesiologyPractitioner - Gastroenterology 2961499108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Li MD PLLCGroup PAC ID 5799772935, 3 clinicians

Practice addresses (Care Compare)

13620 38TH Ave
Suite 6F
Flushing, NY 11354-4263
Phone (718) 888-9700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy71
Upper gastrointestinal (GI) endoscopy for acid reflux84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214851-1NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Medical Services PLLC CurrentSince Nov 11, 2009 Accepting new patients
Michael Li MD PLLC CurrentSince Jul 1, 2002 Accepting new patients
New York Downtown Medical Associates Past Accepting new patients
Booth Medical Associates PC Gastroenterology Past Accepting new patients
CXC Physician, P.C. Past Accepting new patients
Ny Downtown Faculty Practice Opd Past Accepting new patients

Locations

13620 38th Ave
Ste 6F
Flushing, NY 11354
Phone (718) 213-6118

13625 Maple Ave
Ste 209
Flushing, NY 11355

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mli@1067.mdlanddirect.com

Organizations & group practices 6

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1770547630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 38TH AVE",
            "address_2": "SUITE 6F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544233",
            "telephone_number": "718-888-9700",
            "fax_number": "718-888-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136-20 38 AVE",
            "address_2": "SUITE 6F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544263",
            "telephone_number": "718-888-9700",
            "fax_number": "718-888-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "MICHAEL",
        "middle_name": "YANG",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "214851-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02213427",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.