Individual provider Active NPI

Samuel Li, MD

  • Orthopaedic Surgery of the Spine Physician
  • Arlington, VA
National Provider Identifier
1902300643
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
0101282676 Issued in VA
Practice address
1715 N George Mason Dr Ste 504
Arlington, VA 22205-3670
Phone
(703) 525-2200
Fax
(703) 522-2603
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 322624 NY
Orthopaedic Surgery of the Spine Physician 207XS0117X 0101282676 VA Primary

Addresses

Primary practice location

1715 N George Mason Dr Ste 504
Arlington, VA 22205-3670

Mailing address

1715 N George Mason Dr Ste 504
Arlington, VA 22205-3670
Phone (703) 525-2200

Other practice location 1

1945 Old Gallows Rd Ste 430
Vienna, VA 22182-2764
Phone (703) 525-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC2 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
I20230616000914 NY Practitioner - Orthopedic Surgery 5698011039 Reassigns benefits to 1 organization
I20241125001275 DC Practitioner - Orthopedic Surgery 5698011039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1715 N George Mason Dr
Suite 504
Arlington, VA 22205-3670
Phone (703) 525-2200

Hospital & facility affiliations

  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
64.79
Promoting interoperability
100
Improvement activities
40
Cost
73.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322624NYMDOrthopaedic Surgery Physician
0101282676VAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nirschl Orthopaedic Center for Sportsmedicine & Joint Reconstruction Orthopaedic Surgery CurrentSince Sep 16, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients

Locations

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

1000 10th Ave
Rm 2A5
New York, NY 10019

1715 N George Mason Dr
Ste 504
Arlington, VA 22205
Phone (703) 525-2200

1945 Old Gallows Rd
Ste 430
Vienna, VA 22182
Phone (703) 525-2200

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1902300643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DR STE 504",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053670",
            "telephone_number": "703-525-2200",
            "fax_number": "703-522-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DR STE 504",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053670",
            "telephone_number": "703-525-2200",
            "fax_number": "703-522-2603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Old Gallows Rd Ste 430",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221822764",
            "country_code": "US",
            "telephone_number": "703-525-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "322624",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "VA",
            "license": "0101282676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.