Active NPI
Yu Jim Li, MD
- Anatomic Pathology & Clinical Pathology Physician
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 2017037834
- Practice address
- 19600 E 39TH St S
Independence, MO 64057-2301 - Phone
- (816) 698-7011
- Fax
- (816) 698-7016
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 47029 | WI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2017037834 | MO | Primary |
Addresses
Primary practice location
19600 E 39TH St S
Independence, MO 64057-2301
Mailing address
PO Box 744327
Atlanta, GA 30374-4327
Phone (816) 698-7011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180221002484 | KS | Practitioner - Pathology | 3375511397 | Reassigns benefits to 1 organization |
| I20180227002466 | MO | Practitioner - Pathology | 3375511397 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Irl Pathology Services Midamerica LLC
Practice addresses (Care Compare)
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4593
5721 W 119TH St
Overland Park, KS 66209-3722
Phone (913) 498-6167
Hospital & facility affiliations
- Centerpoint Medical Center
- Research Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irl Pathology Services Midamerica, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
1500 State St
Lexington, MO 64067
Phone (660) 259-2203
Organizations & group practices 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Kansas City, MO
- NPI 1497271480
Anatomic Pathology & Clinical Pathology, KS, MO
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1861454035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744327",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744327",
"telephone_number": "816-698-7011",
"fax_number": "816-698-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19600 E 39TH ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572301",
"telephone_number": "816-698-7011",
"fax_number": "816-698-7016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "YU",
"middle_name": "JIM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "WI",
"license": "47029",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "2017037834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.