Active NPI
Li Pang, MD
- Cardiovascular Disease Physician
- Johnson City, TN
National Provider Identifier
1821557091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 76662
- Practice address
- 2428 Knob Creek Rd Ste 201
Johnson City, TN 37604-2396 - Phone
- (423) 282-5054
- Fax
- (423) 390-6850
- NPI assigned
- Mar 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 76662 | TN | |
| Interventional Cardiology Physician | 207RI0011X | 76662 | TN | |
| Cardiovascular Disease Physician | 207RC0000X | 76662 | TN | Primary |
Addresses
Primary practice location
2428 Knob Creek Rd Ste 201
Johnson City, TN 37604-2396
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111
Other practice location 1
1400 Pelham Pkwy S
Bronx, NY 10461-1197
Phone (507) 319-9390
Other practice location 2
1901 S Shady St Ste 1
Mountain City, TN 37683-2021
Phone (423) 727-6674
Other practice location 3
1410 Tusculum Blvd Ste 1200
Greeneville, TN 37745-5815
Phone (423) 787-7280
Other practice location 4
1410 Tusculum Blvd Ste 1500
Greeneville, TN 37745-5810
Phone (423) 638-2270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260618001604 | TN | Practitioner - Cardiovascular Disease (Cardiology) | 3173048881 |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1021 W Oakland Ave
Suite 310
Johnson City, TN 37604-2192
2799 W Grand Blvd
Detroit, MI 48202-2608
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- lpang1084145@direct.hfhs.org
- lpang340424@direct.wvuhsdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1821557091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-952-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2428 KNOB CREEK RD STE 201",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042396",
"telephone_number": "423-282-5054",
"fax_number": "423-390-6850"
}
],
"practiceLocations": [
{
"address_1": "1400 Pelham Pkwy S",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104611197",
"country_code": "US",
"telephone_number": "507-319-9390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 S Shady St Ste 1",
"address_purpose": "LOCATION",
"city": "Mountain City",
"state": "TN",
"postal_code": "376832021",
"country_code": "US",
"telephone_number": "423-727-6674",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1410 Tusculum Blvd Ste 1200",
"address_purpose": "LOCATION",
"city": "Greeneville",
"state": "TN",
"postal_code": "377455815",
"country_code": "US",
"telephone_number": "423-787-7280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1410 Tusculum Blvd Ste 1500",
"address_purpose": "LOCATION",
"city": "Greeneville",
"state": "TN",
"postal_code": "377455810",
"country_code": "US",
"telephone_number": "423-638-2270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANG",
"first_name": "LI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-18",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "76662",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TN",
"license": "76662",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "76662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.