OMNI MEDICAL CENTER
NPI 1093990079
Contractor in Plano, TX
About Omni Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMNI MEDICAL CENTER (NPI 1093990079) is a healthcare organization registered as a contractor in Plano, Texas and active in the NPI registry since January 2008. The organization holds 2 active CLIA laboratory certificates and lists Jennifer Li, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
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)
Omni Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 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
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Omni Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 2
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 Accreditation 45D2136328
Omni Medical Center · Plano, TXCertificate of Waiver 45D2336285
Omni Medical Center · Mckinney, 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 Yan Li, MD., Phd., P.A.'s NPI number?
The NPI number for Yan Li, MD., Phd., P.A. is 1093990079. It was assigned to this organization in the NPPES registry on January 8, 2008. The provider is doing business as Omni Medical Center.
Where is Yan Li, MD., Phd., P.A. located?
Yan Li, MD., Phd., P.A. is located at 4040 Mcdermott Rd Suite 100, Plano, TX 75024. The listed phone number is (972) 668-6868.
What is Yan Li, MD., Phd., P.A.'s specialty?
The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.
Is Yan Li, MD., Phd., P.A. enrolled in Medicare?
Yes. Yan Li, MD., Phd., P.A. is registered in the Medicare PECOS enrollment system.
When is Yan Li, MD., Phd., P.A.'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 January 31, 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 Yan Li, MD., Phd., P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Yan Li, MD., Phd., P.A., in Family Practice and Nurse Practitioner. 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Yan Li, MD., Phd., P.A. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Yan Li, MD., Phd., P.A. accept?
Health plans from Molina Healthcare and WellPoint list Yan Li, MD., Phd., P.A. 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 Yan Li, MD., Phd., P.A. was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Omni Medical Center · NPI 1093990079
Contractor organization in Plano, Texas. Organization record, active in the CMS NPPES registry since January 8, 2008.
## Identity
- **NPI:** 1093990079 (Entity type: Organization)
- **Enumerated:** January 8, 2008
- **Primary specialty:** Contractor · taxonomy 171W00000X
- **Legal business name:** Yan Li, Md., Phd., P.a.
- **Organization subpart:** No
- **Authorized official:** Jennifer Li, OFFICE MANAGER
## Practice location
- **Address:** 4040 MCDERMOTT RD, SUITE 100, Plano, TX 75024-7734
- **Phone:** (972) 668-6868 · **Fax:** (972) 668-1618
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093990079) · Data from the CMS NPPES public registry.