Individual provider Active NPI

Siyun Li, MD

  • Neurology Physician
  • Chillicothe, OH
National Provider Identifier
1902821366
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35.087473 Issued in OH
Practice address
4437 State Route 159
Suite G25
Chillicothe, OH 45601-7065
Phone
(740) 779-4598
Fax
(740) 779-4599
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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 35.087473 OH Primary

Addresses

Primary practice location

4437 State Route 159
Suite G25
Chillicothe, OH 45601-7065

Mailing address

272 Hospital Rd
Chillicothe, OH 45601-9031

Other identifiers 1

IdentifierTypeStateIssuer
2658100MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.abjc@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060427000004 OH Practitioner - Neurology 4587674106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

100 Dawn LN
Waverly, OH 45690-9138
Phone (740) 947-6460

100 N Walnut St
Chillicothe, OH 45601-9031
Phone (740) 779-4500

110 Vaugh Lane
Suite 20
Chillicothe, OH 45601
Phone (740) 779-7201

12340 State Route 104
Waverly, OH 45690-8968
Phone (740) 941-5180

272 Hospital Rd
Chillicothe, OH 45601-9031

455 N Shawnee Lane
Chillicothe, OH 45601-9031
Phone (740) 779-4888

550 Mirabeau St
Greenfield, OH 45123-1617
Phone (937) 981-9259

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.087473OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC CurrentSince Apr 1, 2010 Accepting new patients
Adena Health System Past Accepting new patients

Locations

272 Hospital Rd
Ste 3
Chillicothe, OH 45601
Phone (740) 779-8234

4437 State Route 159
Ste G25
Chillicothe, OH 45601
Phone (740) 542-4000

4439 State Route 159
Ste 130
Chillicothe, OH 45601
Phone (740) 779-4360

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

4437 State Route 159
Ste G15
Chillicothe, OH 45601
Phone (740) 779-8580

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

Interoperability endpoints

  • Direct secure messaging: sli195474@direct.osumc.edu

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 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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1902821366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 STATE ROUTE 159",
            "address_2": "SUITE G25",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017065",
            "telephone_number": "740-779-4598",
            "fax_number": "740-779-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "SIYUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.087473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2658100",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.abjc@adena.medicity.net",
            "affiliation": "N",
            "address_1": "4437 State Route 159",
            "address_2": "Suite G25",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456017065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.