Individual provider Active NPI

Eric Li, DPM

  • Podiatrist
  • Detroit, MI
National Provider Identifier
1790423028
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5951001445 Issued in MI
Practice address
7633 E Jefferson Ave Ste 250
Detroit, MI 48214-3731
Phone
(313) 821-3338
NPI assigned
May 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 5951001445 MI Primary

Addresses

Primary practice location

7633 E Jefferson Ave Ste 250
Detroit, MI 48214-3731

Mailing address

28050 Grand River Ave
Farmington Hills, MI 48336-5919

Other practice location 1

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-7386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250808000729 MI Practitioner - Podiatry 5294113965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Bazzi PodiatryGroup PAC ID 3173848520, 9 clinicians

Practice addresses (Care Compare)

7633 E Jefferson Ave
Suite 250
Detroit, MI 48214-3731
Phone (313) 821-3338

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18
Removal of skin lesions40
Removal of nail tissue250
Removal or shaving of skin growth99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Seniors PLLC Single Specialty CurrentSince Mar 2, 2026 Accepting new patients
Bazzi Podiatry Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Peter F Gregory Single Specialty Past Accepting new patients
Larry Weiss DPM PC Single Specialty PastSince Jun 13, 2009 Accepting new patients

Locations

26031 W Warren St
Ste B
Dearborn Heights, MI 48127
Phone (313) 563-0660

17421 Greenfield Rd
Detroit, MI 48235
Phone (313) 273-7091

20526 Plymouth Rd
Ste A
Detroit, MI 48228
Phone (313) 273-3780

7633 E Jefferson Ave
Ste 250
Detroit, MI 48214
Phone (313) 581-2121

17316 Farmington Rd
Livonia, MI 48152
Phone (734) 522-7676

27031 Dequindre Rd
Ste A
Madison Heights, MI 48071
Phone (248) 545-4888

26095 W 6 Mile Rd
Redford, MI 48240
Phone (248) 886-4464

Organizations & group practices 4

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": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1790423028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28050 GRAND RIVER AVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE STE 250",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143731",
            "telephone_number": "313-821-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28050 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365919",
            "country_code": "US",
            "telephone_number": "947-521-7386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "ERIC",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5951001445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.