DR. JIEWEN LI DO
NPI 1003435967
Radiology - Diagnostic Radiology in Eden Prairie, MN

Active since April 10, 2020PECOS EnrolledAccepts Medicare Assignment
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344(612) 573-2200(612) 573-2274 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 26, 2025, Nov 11, 2025, Apr 10, 2020 (3 updates tracked since 2020).

About Dr. Jiewen Li Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JIEWEN LI DO (NPI 1003435967) is an individual diagnostic radiology provider in Eden Prairie, Minnesota, licensed in Minnesota (81780) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Olmsted Medical Center, and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1003435967
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JIEWEN LICredential: DO
Location Address7595 ANAGRAM DREden Prairie, MN 55344-7399
Mailing Address7595 Anagram DrEden Prairie, MN 55344-7399 · (612) 573-2200 · Fax (612) 573-2274
Fax(612) 573-2274
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2020
Enumeration DateApril 10, 2020
Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1003435967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in MN · 81780✔ Licensed in OH · 34.018252
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
7595 ANAGRAM DR, Eden Prairie, MN 55344

Secondary Practice Location 1

Location 1125 1/2 S Avenue 60Los Angeles, CA 90042-4217 · Phone (216) 370-8300

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jiewen Li Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961825906
PECOS Enrollment IDI20251231004203, I20260226001309
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

12

Medicare enrollment records show Jiewen Li reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
7595 ANAGRAM DR
Eden Prairie, MN 55344
  • Reassigned Medicare billing, California and Minnesota enrollments
  • 12 clinicians in this Medicare group
Internal Medicine
775 PRAIRIE CENTER DR STE 300
Eden Prairie, MN 55344
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1699501601 (Minnesota)
  • 3,733 clinicians in this Medicare group
Specialist
3601 MINNESOTA DR STE 200
Bloomington, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 144 clinicians in this Medicare group
Urgent Care
8170 OLD CARRIAGE CT STE 100
Shakopee, MN 55379
  • Reassigned Medicare billing, Minnesota enrollment
  • 320 clinicians in this Medicare group
Family Medicine
1230 E MAIN ST
Mankato, MN 56001
  • Reassigned Medicare billing, Minnesota enrollment
  • 322 clinicians in this Medicare group
Critical Access
121 DREW AVE SE
Madelia, MN 56062
  • Reassigned Medicare billing, Minnesota enrollment
  • 113 clinicians in this Medicare group
Clinic/Center
210 9TH ST SE
Rochester, MN 55904
  • Reassigned Medicare billing, Minnesota enrollment
  • 379 clinicians in this Medicare group
Diagnostic Radiology
1789 SHAWANO AVE
Green Bay, WI 54303
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
Critical Access
300 W GOOD SAMARITAN DR
Warren, MN 56762
  • Reassigned Medicare billing, Minnesota enrollment
  • 107 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1301 15TH AVE W
Williston, ND 58801
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1902824576 (North Dakota)
  • 268 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Olmsted Medical Center

Acute Care Hospitals · Rochester, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240006
Location1650 Fourth Street SoutheastRochester, MN 55904 · Olmsted County
Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

St Francis Regional Medical Center

Acute Care Hospitals · Shakopee, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240104
Location1455 St Francis AvenueShakopee, MN 55379 · Scott County
Emergency services Birthing friendly

New Ulm Medical Center

Critical Access Hospitals · New Ulm, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241378
Location1324 Fifth North StreetNew Ulm, MN 56073 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55344 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 55344
Nurse Practitioner (Acute Care)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 55344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jiewen Li's NPI number?

The NPI number for Jiewen Li is 1003435967. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Jiewen Li located?

Jiewen Li practices at 7595 Anagram Dr, Eden Prairie, MN 55344. The listed phone number is (612) 573-2200.

What is Jiewen Li's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jiewen Li enrolled in Medicare?

Yes. Jiewen Li is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jiewen Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jiewen Li reassigns Medicare benefits to 12 organizations: Consulting Radiologists, Ltd (Eden Prairie, MN), Allina Health System (Eden Prairie, MN), Noran Neurological Clinic P.A. (Bloomington, MN), St. Francis Regional Medical Center (Shakopee, MN), Mankato Clinic Ltd (Mankato, MN) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jiewen Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jiewen Li accept?

Health plans from Blue Cross Blue Shield of North Dakota, CareSource (Common Ground Healthcare) and Sanford Health Plan list Jiewen Li as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jiewen Li affiliated with any hospitals?

According to CMS data, Jiewen Li is affiliated with Olmsted Medical Center, St Lukes Hospital, Abbott Northwestern Hospital, St Francis Regional Medical Center and New Ulm Medical Center.

When was this NPI record last updated?

The NPPES record for Jiewen Li was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.