David Guannan Li, MD, MBA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

1013828 Issued in MA

Practice address

30 Lancaster St Ste 400
Boston, MA 02114-1704

Phone

(617) 722-4100

Fax

(617) 227-1134

NPI assigned

Jun 18, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Dermatology

Education

Tufts University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boston Dermatology and Laser Center LLCGroup PAC ID 0941271407, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.93 of 100Reported as group

Quality

92.6

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14167/brand/11/csg/1/fhir/r4
• Direct secure messaging: dli@apderm.emadirect.md

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.

• Boston Dermatology and Laser Center, LLC

  • Dermatology Physician
  • Boston, MA
  • NPI 1215963574
  Medicare reassignment Care Compare group NPD
• Massachusetts Institute of Technology

  dba MIT Health

  • Multi-Specialty Clinic/Center
  • Cambridge, MA
  • NPI 1346308723
  Medicare reassignment NPD

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1891355186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LANCASTER ST STE 400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141704",
            "telephone_number": "617-722-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LANCASTER ST STE 400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141704",
            "telephone_number": "617-722-4100",
            "fax_number": "617-227-1134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Carleton St Bldg E23",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021421323",
            "country_code": "US",
            "telephone_number": "617-258-9768",
            "fax_number": "877-947-2327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "DAVID",
        "middle_name": "GUANNAN",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "1770504599",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "1013828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Li, PA-C
• Cecilia Li, PHARMD, BCIDP
• Chieh Li, EDD
• Dan Li
• Daniel Li, MD
• David Yang Li, M.D.
• Elizabeth Sing-Ting Li, MD
• Eric Haocheng Li
• Fang Li, PHD
• Frances Shieh Li

• Dermatology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.

Verify at the official NPI Registry.