Individual provider Active NPI

Clarence T Li, M.D.

  • Neurology Physician
  • Reston, VA
National Provider Identifier
1902285893
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101271544 Issued in VA
Practice address
11800 Sunrise Valley Dr Ste 800
Reston, VA 20191-5320
Phone
(703) 709-1114
NPI assigned
May 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101271544 VA Primary

Addresses

Primary practice location

11800 Sunrise Valley Dr Ste 800
Reston, VA 20191-5320

Mailing address

11800 Sunrise Valley Dr Ste 800
Reston, VA 20191-5320
Phone (703) 709-1114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220314001495 DC Practitioner - NeurologyPractitioner - Pain Management 6800108069 Reassigns benefits to 1 organization
I20241024002035 NJ Practitioner - Neurology 6800108069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Wisconsin School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunterdon Specialty CareGroup PAC ID 4587966601, 94 clinicians

Practice addresses (Care Compare)

121 Route 31
Flemington, NJ 08822-5755

1251 Route 22
Bridgewater, NJ 08807-2916
Phone (908) 237-4108

6 Sand Hill Rd
Suite 202
Flemington, NJ 08822-4946
Phone (908) 237-4080

72 Alexander Ave
Suite 201
Lambertville, NJ 08530-2200
Phone (908) 237-4124

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
79.98
Promoting interoperability
97
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101271544VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Specialty Care PC Current Accepting new patients
Virginia Spine Institute PLC CurrentSince Mar 1, 2022 Accepting new patients
Hunterdon Specialty Care, PC CurrentSince Aug 12, 2024 Accepting new patients
Hunterdon Specialty Care, PC Past Accepting new patients

Locations

1251 US Highway 22
Bridgewater, NJ 08807
Phone (908) 237-4108

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

121 State Route 31
Ste 1200
Flemington, NJ 08822
Phone (908) 782-0019

215 State Route 31
#116
Flemington, NJ 08822

6 Sand Hill Rd
Ste 202
Flemington, NJ 08822
Phone (908) 237-4080

11800 Sunrise Valley Dr
Ste 800
Reston, VA 20191
Phone (703) 709-1114

Interoperability endpoints

  • Direct secure messaging: clarence.li.p116@direct.hunterdon.nextgenshare.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1902285893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SUNRISE VALLEY DR STE 800",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915320",
            "telephone_number": "703-709-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SUNRISE VALLEY DR STE 800",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915320",
            "telephone_number": "703-709-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "CLARENCE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101271544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.