Individual provider Active NPI

Jonathan Li, M.D.

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1780667709
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
14502 Issued in NV
Practice address
2601 N Tenaya Way
Las Vegas, NV 89128-0427
Phone
(702) 240-8155
Fax
(702) 240-8161
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 14502 NV Primary

Addresses

Primary practice location

2601 N Tenaya Way
Las Vegas, NV 89128-0427

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (702) 240-8155

Other practice location 1

730 Cool Springs Blvd Ste 800
Franklin, TN 37067-4641
Phone (615) 468-4000

Other identifiers 1

IdentifierTypeStateIssuer
1780667709MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jonathan.li@centerwell.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 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
I20121010000167 NV Practitioner - Cardiovascular Disease (Cardiology) 5092964999 Reassigns benefits to 4 organizations
I20251202003760 AZ Practitioner - Cardiovascular Disease (Cardiology) 5092964999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of South Florida College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Archwell Health Professional Services of Nevada PCGroup PAC ID 3779966999, 14 clinicians

Practice addresses (Care Compare)

1501 W Sunset Rd
Henderson, NV 89014-6636
Phone (725) 269-7001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14502NVMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group Rhodes P C CurrentSince Jun 9, 2019 Accepting new patients
Centerwell Senior Primary Care (NV) PC CurrentSince Apr 1, 2024 Accepting new patients
Archwell Health Professional Services of Nevada, P.C. CurrentSince Aug 15, 2025 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Sep 10, 2012 Accepting new patients
Centerwell Senior Primary Care (NV) PC CurrentSince Apr 1, 2024 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 9, 2019 Accepting new patients
Archwell Health Professional Services of Arizona, LLC CurrentSince Oct 19, 2025 Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Centerwell Senior Primary Care NV P C Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Desert Springs Hospital Past Accepting new patients

Locations

4315 E Main St
Mesa, AZ 85205
Phone (480) 654-0260

6843 E Main St
Mesa, AZ 85207
Phone (480) 870-7300

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1501 W Sunset Rd
Henderson, NV 89014
Phone (725) 269-7001

4015 S Buffalo Dr
Ste 1
Las Vegas, NV 89147
Phone (725) 293-4602

3129 N Rainbow Blvd
Las Vegas, NV 89108
Phone (725) 220-8457

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967

888 S Rancho Dr
Las Vegas, NV 89106
Phone (702) 877-5375

2601 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 233-4950

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Organizations & group practices 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1780667709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "702-240-8155",
            "fax_number": "702-240-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N TENAYA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280427",
            "telephone_number": "702-240-8155",
            "fax_number": "702-240-8161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Cool Springs Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370674641",
            "country_code": "US",
            "telephone_number": "615-468-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "14502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780667709",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathan.li@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2601 N Tenaya Way",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891280427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.