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DR. ROGELIO ROGER LI D.D.S.
NPI 1093866352
Dentist - General Practice in Pleasanton, CA

Active since January 15, 2007Opted out of Medicare · through Feb 10, 2028
1439 CEDARWOOD LN STE D, PLEASANTON, CA 94566(925) 462-7212(925) 462-7258 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Rogelio Roger Li D.d.s. NPPES

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

DR. ROGELIO ROGER LI D.D.S. (NPI 1093866352) is an individual general practice provider in Pleasanton, California, licensed in California (03551) and active in the NPI registry since January 2007. He has opted out of Medicare through February 10, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093866352
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROGELIO ROGER LICredential: D.D.S.
Location Address1439 CEDARWOOD LN STE DPleasanton, CA 94566-6127
Mailing Address3694 Happy Valley RdLafayette, CA 94549-3040 · (925) 462-7212 · Fax (925) 462-7258
Phone(925) 462-7212
Fax(925) 462-7258
Sole ProprietorYes
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093866352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 03551
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1439 CEDARWOOD LN STE D, Pleasanton, CA 94566
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Rogelio Roger Li D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 10, 2016 through February 10, 2028.

Opt-Out Effective DateFebruary 10, 2016
Opt-Out In Effect ThroughFebruary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94566 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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 Rogelio Li's NPI number?

The NPI number for Rogelio Li is 1093866352. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Rogelio Li located?

Rogelio Li practices at 1439 Cedarwood Ln Ste D, Pleasanton, CA 94566. The listed phone number is (925) 462-7212.

What is Rogelio Li's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Rogelio Li enrolled in Medicare?

No. Rogelio Li has opted out of Medicare through February 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Rogelio Li was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.