NPIMap

Individual provider Active NPI

Xiaofan Li, MD

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1962631085
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P9086 Issued in TX
Practice address
1977 Butler Blvd Ste E4.400
Houston, TX 77030-4101
Phone
(713) 798-4857
NPI assigned
Jul 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 54180 MN
Psychiatry Physician 2084P0800X 9589 SD
Psychiatry Physician 2084P0800X P9086 TX Primary

Addresses

Primary practice location

1977 Butler Blvd Ste E4.400
Houston, TX 77030-4101

Mailing address

4400 W 69TH St Ste 1500
Sioux Falls, SD 57108-8171
Phone (605) 322-5700

Other practice location 1

4400 W. 69th St.
Ste. 1500
Sioux Falls, SD 57108-8171
Phone (605) 322-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150930003456 SD Practitioner - Psychiatry 5890967327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Mayo Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Behavioral HealthcareGroup PAC ID 7618867367, 7 clinicians

Practice addresses (Care Compare)

100 W 5TH St
Sioux Falls, SD 57104-5915
Phone (605) 336-0503

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9589SDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Avera McKennan Current Accepting new patients
Southeastern Behavioral Healthcare CurrentSince Oct 27, 2016 Accepting new patients
Flandreau Santee Sioux Tribe CurrentSince Jun 18, 2021 Accepting new patients
Avera McKennan Past Accepting new patients
Southeastern Behavioral Healthcare Past Accepting new patients

Locations

403 W Broad Ave
Flandreau, SD 57028
Phone (605) 997-2642

2000 S Summit Ave
Sioux Falls, SD 57105
Phone (605) 336-0503

100 W 5th St
Sioux Falls, SD 57104
Phone (605) 336-0503

Interoperability endpoints

  • Direct secure messaging: xiaofan.li@avera.sdhealthlink.net

Organizations & group practices 6

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1962631085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W 69TH ST STE 1500",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088171",
            "telephone_number": "605-322-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 BUTLER BLVD STE E4.400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304101",
            "telephone_number": "713-798-4857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 W. 69th St.",
            "address_2": "Ste. 1500",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571088171",
            "country_code": "US",
            "telephone_number": "605-322-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "XIAOFAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "54180",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "9589",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P9086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.