JENNIFER W LI MD
NPI 1144808858
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Q: What is Jennifer Li's NPI number?

The NPI number for Jennifer Li is 1144808858. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Jennifer Li's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Li was last updated on May 9, 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.

Active since April 01, 2021PECOS Enrolled

600 N WOLFE STREET, BALTIMORE, MD 21264(410) 955-5000 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2024, Jun 18, 2021, Jun 4, 2021 and 2 more (5 updates tracked since 2021).

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About Jennifer W Li Md NPPES

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

JENNIFER W LI MD (NPI 1144808858) is an individual student in an organized health care education/training program in Baltimore, Maryland, licensed in Rhode Island (LP05329) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1144808858

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJENNIFER W LICredential: MD

Location Address600 N WOLFE STREETBaltimore, MD 21264-4923

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423

Phone(410) 955-5000

Sole ProprietorNo

Enumeration DateApril 1, 2021

Last NPPES UpdateMay 9, 20245 updates tracked since enumeration

NPPES CertifiedMay 9, 2024

✔ NPI 1144808858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in RI · LP05329

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

600 N WOLFE STREET, Baltimore, MD 21264

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Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-4741 · Fax (401) 444-4445

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer W Li Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

HAVISHA GADEPALLI MD

Family Medicine