Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: August 02, 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, maintains a secondary practice location in Los Angeles, and is a graduate of Ohio University, College Of Osteopathic Medicine (2020).

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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
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
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.

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 40 days 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.