BEN CHUNG LI MD NPI 1003019001

Obstetrics & Gynecology (Maternal & Fetal Medicine) in San Francisco, CA

NPI 1003019001 Individual Male Years of Experience 16 Obstetrics & Gynecology Maternal & Fetal Medicine PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for BEN CHUNG LI MD

Ben Li is a women's health care provider established in San Francisco, California and his medical specialization is obstetrics & gynecology (maternal & fetal medicine) with more than 16 years of experience. He graduated from University Of California, San Francisco School Of Medicine in 2006. The NPI number of Ben Li is 1003019001 and was assigned on June 2007. The practitioner's primary taxonomy code is 207VM0101X with license number A111887 (CA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

Women's health care providers like Ben Chung Li Md treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Ben Li is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Ben Li is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $39.19 for a new patient copayment and $21.68 for an established patient copayment.

NPI

1003019001

Provider Name BEN CHUNG LI MD
Provider Location Address550 16TH STREET UCSF WOMENS HEALTH SAN FRANCISCO, CA 94143
Provider Mailing Address550 16TH STREET UCSF WOMENS HEALTH SAN FRANCISCO, CA 94143
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year2006
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-07-2007
Last Update Date09-08-2015


Primary Taxonomy

Taxonomy Code207VM0101X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
SpecializationMaternal & Fetal Medicine
License No.A111887
License StateCA
Taxonomy DescriptionAn obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Business Address

BEN CHUNG LI MD
550 16TH STREET
UCSF WOMENS HEALTH
SAN FRANCISCO, CA
ZIP 94143
Phone: (214) 590-8058

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Mailing Address

BEN CHUNG LI MD
550 16TH STREET
UCSF WOMENS HEALTH
SAN FRANCISCO, CA
ZIP 94143
Phone: (214) 590-8058



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID648463836
PECOS Enrollment IDI20101020000677
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 94143 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$69.92 $206.38 $156.78
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.48 $51.59 $39.19
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$22.97 $169.96 $86.73
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.74 $42.49 $21.68

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
BP1-0026455OTHER (01)INSTITUTIONAL PERMIT

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003019001
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011800
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 8 + 0 + 0 + 24 = 39
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 39 = 11

The NPI number 1003019001 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427554088 STEPHANIE TSOI MD
Individual
Student in an Organized Health Care Education/Training Program550 16TH STREET 4TH FLOOR, 4551, #0110
SAN FRANCISCO, CA 94143
(415) 476-6245
1508325499 GABRIELA CHATEAU
Individual
Student in an Organized Health Care Education/Training Program550 16TH STREET MISSION HALL 4TH FLOOR
SAN FRANCISCO, CA 94143
(415) 476-5001
1083174692 REBECCA SATTY MD
Individual
Student in an Organized Health Care Education/Training Program550 16TH STREET MISSION HALL 4TH FLOOR
SAN FRANCISCO, CA 94143
(415) 476-5001
1972009389 KATHRYN MACKENZIE DUPONT MD MPH
Individual
Student in an Organized Health Care Education/Training Program550 16TH STREET 4TH FLOOR, 4551, # 0110
SAN FRANCISCO, CA 94143
(415) 476-9245
1447887252 CHERYL CHEAH
Individual
Pediatrics550 16TH STREET MISSION HALL, 4TH FLOOR
SAN FRANCISCO, CA 94143
(415) 476-5001
1881221117 CARLOS ARMANDO DAMAS MD
Individual
Pediatrics550 16TH STREET MISSION HALL, 4TH FLOOR
SAN FRANCISCO, CA 94143
(415) 476-5001
1184365710 DOMINIQUE FORESTIER
Individual
Student in an Organized Health Care Education/Training Program550 16TH STREET 4TH FLOOR, 4551,
SAN FRANCISCO, CA 94143
(415) 502-2362

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Ben Chung Li Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.