DR. SHUANG LI M.D.
NPI 1013262492
Hospitalist in Houston, TX

Active since July 20, 2012PECOS EnrolledAccepts Medicare Assignment
6565 FANNIN ST, HOUSTON, TX 77030(832) 368-9466 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2025, Dec 22, 2021, Dec 14, 2021 and 1 more (4 updates tracked since 2016).

About Dr. Shuang Li M.d. NPPES

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

DR. SHUANG LI M.D. (NPI 1013262492) is an individual hospitalist provider in Houston, Texas, licensed in Montana (MED-PHYS-LIC-44480) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Providence Willamette Falls Medical Center, and maintains a secondary practice location in Kalispell.

NPPES Registry Identity

NPI1013262492
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. SHUANG LICredential: M.D.
Location Address6565 FANNIN STHouston, TX 77030-2703
Mailing Address1115 Mulberry LnBellaire, TX 77401-2708 · (832) 368-9466
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2011
Enumeration DateJuly 20, 2012
Last NPPES UpdateFebruary 4, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1013262492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MT · MED-PHYS-LIC-44480
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MED-PHYS-LIC-44480 (MT), P8938 (TX)
6565 FANNIN ST, Houston, TX 77030

Secondary Practice Location 1

Location 1310 Sunnyview LnKalispell, MT 59901-3129 · Phone (406) 751-5310 · Fax (406) 751-3068

Other Identifiers 1

Medicaid337790503TX

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. Shuang Li M.d. 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 ID1658599014
PECOS Enrollment IDI20140826002207, I20210208002890
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

19

Medicare enrollment records show Shuang Li reassigns Medicare billing to 19 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
6565 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 14 clinicians in this Medicare group
Internal Medicine
6565 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
Multi-Specialty
1515 HOLCOMBE BLVD
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,675 clinicians in this Medicare group
Internal Medicine
2429 BISSONNET ST, STE. 542
Houston, TX 77005
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
Hospitalist
16100 SOUTH FWY
Pearland, TX 77584
  • Reassigned Medicare billing, Texas enrollment
  • 121 clinicians in this Medicare group
Hospitalist
7500 RIALTO BLVD STE 1-140
Austin, TX 78735
  • Reassigned Medicare billing, Texas enrollment
  • 241 clinicians in this Medicare group
Internal Medicine
3201 W STATE HIGHWAY 22
Corsicana, TX 75110
  • Reassigned Medicare billing, Texas enrollment
  • 149 clinicians in this Medicare group
Hospitalist
7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 688 clinicians in this Medicare group
Hospitalist
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 681 clinicians in this Medicare group
Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
107 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
82 services82 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services31 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
26 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas County
Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
93%46 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$13.85 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers19 claims19 services$63.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Specialist/Technologist, Pathology
6565 FANNIN ST, MS205
HOUSTON, TX 77030
Registered Nurse
6565 FANNIN ST
HOUSTON, TX 77030
Anesthesiology
6565 FANNIN ST
HOUSTON, TX 77030
Pathology (Anatomic Pathology & Clinical Pathology)
6565 FANNIN ST
HOUSTON, TX 77030
Internal Medicine (Nephrology)
6565 FANNIN ST, FONDREN 270
HOUSTON, TX 77030
Nurse Practitioner (Acute Care)
6565 FANNIN ST
HOUSTON, TX 77030
Anesthesiology
6565 FANNIN ST
HOUSTON, TX 77030
Nurse Practitioner (Family)
6565 FANNIN ST
HOUSTON, TX 77030

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 Shuang Li's NPI number?

The NPI number for Shuang Li is 1013262492. It was assigned to this individual provider in the NPPES registry on July 20, 2012.

Where is Shuang Li located?

Shuang Li practices at 6565 Fannin St, Houston, TX 77030. The listed phone number is (832) 368-9466.

What is Shuang Li's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shuang Li enrolled in Medicare?

Yes. Shuang 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 Shuang Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shuang Li reassigns Medicare benefits to 19 organizations: Inpatient Hospitalists Texas Medical Center PLLC (Houston, TX), Houston Hospicare PLLC (Houston, TX), Physicians Referral Service (Houston, TX), Satish Dinakar MD PLLC (Houston, TX), Hospital Medicine Associates Of Tx PA (Pearland, TX) and 14 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 Shuang Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shuang Li accept?

Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Shuang 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 Shuang Li affiliated with any hospitals?

According to CMS data, Shuang Li is affiliated with Providence Willamette Falls Medical Center, Providence Milwaukie Hospital and Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Shuang Li was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.