JAMES Y LI MD PA
NPI 1093799025
Surgery - Vascular Surgery in Odessa, TX
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
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
James Y Li Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to James Y Li MD PA, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TXFrequently 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.
Is James Y Li MD PA enrolled in Medicare?
Yes. James Y Li MD PA is registered in the Medicare PECOS enrollment system.
When is James Y Li MD PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through James Y Li MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to James Y Li MD PA, in Nurse Practitioner and Vascular Surgery. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
# James Y Li Md Pa · NPI 1093799025
Vascular Surgery organization in Odessa, Texas. Organization record, active in the CMS NPPES registry since December 2, 2005.
## Identity
- **NPI:** 1093799025 (Entity type: Organization)
- **Enumerated:** December 2, 2005
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** James Li, OWNER
## Practice location
- **Address:** 540 W 5TH ST, SUITE #360, Odessa, TX 79761-5034
- **Phone:** (432) 332-9263 · **Fax:** (432) 332-9264
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Vascular Surgery (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2012
- **Other identifiers:** Medicare PIN 00393Z (TX); Medicare UPIN H43339; Medicaid 176084501 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093799025) · Data from the CMS NPPES public registry.