Individual provider Active NPI

Yuan Yi Li, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1841261062
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
232861 Issued in NY
Practice address
13304 41St Ave
First Floor B
Flushing, NY 11355-3629
Phone
(718) 358-6768
Fax
(718) 358-6783
NPI assigned
Jan 27, 2006
Last updated
Nov 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 232861 NY Primary

Addresses

Primary practice location

13304 41St Ave
First Floor B
Flushing, NY 11355-3629

Mailing address

13304 41St Ave
First Floor B
Flushing, NY 11355-3629
Phone (718) 358-6768

Other identifiers 1

IdentifierTypeStateIssuer
02596647MedicaidNY

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
I20041223000302 NY Practitioner - Internal Medicine 7416915343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

3808 Union St
Suite 3L
Flushing, NY 11354-5670
Phone (718) 939-8949

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232861NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients

Locations

3808 Union St
Ste 3L
Flushing, NY 11354
Phone (718) 939-5213

3916 Prince St
Ste 351
Flushing, NY 11354
Phone (718) 358-6768

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

139 Centre St
Ste 704
New York, NY 10013
Phone (212) 219-8878

Networks

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1841261062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13304 41ST AVE",
            "address_2": "FIRST FLOOR B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553629",
            "telephone_number": "718-358-6768",
            "fax_number": "718-358-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13304 41ST AVE",
            "address_2": "FIRST FLOOR B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553629",
            "telephone_number": "718-358-6768",
            "fax_number": "718-358-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "YUAN",
        "middle_name": "YI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "232861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02596647",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.