JAMES Y LI MD PA
NPI 1093799025
Surgery - Vascular Surgery in Odessa, TX

Active since December 02, 2005CLIA 45D1044974 · Waiver
540 W 5TH ST, SUITE #360, ODESSA, TX 79761(432) 332-9263(432) 332-9264 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Y Li Md Pa NPPES

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

JAMES Y LI MD PA (NPI 1093799025) is a healthcare organization registered as a vascular surgery in Odessa, Texas and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists James Y Li, Owner, as its authorized official.

NPPES Registry Identity

NPI1093799025
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameJAMES Y LI MD PA
Location Address540 W 5TH ST, SUITE #360Odessa, TX 79761-5034
Mailing Address540 W 5th St, Suite #360Odessa, TX 79761-5034 · (432) 332-9263 · Fax (432) 332-9264
Fax(432) 332-9264
Organization SubpartNo
Authorized OfficialJames Y LiOwner · (432) 332-9263
Enumeration DateDecember 2, 2005
Last NPPES UpdateFebruary 22, 2012
NPI 1093799025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in TX · L2417
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License L2417 (TX)
540 W 5TH ST, Odessa, TX 79761

Other Identifiers 3

Medicare PIN00393ZTX
Medicare UPINH43339
Medicaid176084501TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1044974

James Y Li, MD, PA · Odessa, TX
Active · expires Sep 1, 2027
CLIA Number45D1044974
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorJames Y. Li
Laboratory Phone(432) 332-9263
Laboratory LocationJames Y Li, MD, PA612 N. Washington Ave Suite 200, Odessa, TX 79761
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Obstetrics & Gynecology
540 W 5TH ST, SUITE 420
ODESSA, TX 79761
Audiologist-Hearing Aid Fitter
540 W 5TH ST, SUITE 405
ODESSA, TX 79761
Pediatrics
540 W 5TH ST, SUITE 360
ODESSA, TX 79761
Pharmacy Technician
540 W 5TH ST
ODESSA, TX 79761
Preventive Medicine (Undersea and Hyperbaric Medicine)
540 W 5TH ST, SUITE 300
ODESSA, TX 79761
Nurse Practitioner (Family)
540 W 5TH ST, SUITE 470
ODESSA, TX 79761
Pharmacist
540 W 5TH ST
ODESSA, TX 79761
Clinic/Center
540 W 5TH ST, SUITE 470
ODESSA, TX 79761

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 James Y Li MD PA's NPI number?

The NPI number for James Y Li MD PA is 1093799025. It was assigned to this organization in the NPPES registry on December 2, 2005.

Where is James Y Li MD PA located?

James Y Li MD PA is located at 540 W 5th St Suite #360, Odessa, TX 79761. The listed phone number is (432) 332-9263.

What is James Y Li MD PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Does James Y Li MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1044974) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does James Y Li MD PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list James Y Li MD PA 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.

When was this NPI record last updated?

The NPPES record for James Y Li MD PA was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.