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LI MEDICAL GROUP PLLC
NPI 1144878414
Internal Medicine in New Hyde Park, NY

Active since August 29, 2019
2090 JERICHO TPKE, NEW HYDE PARK, NY 11040(516) 352-7828 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 10, 2020, Feb 21, 2020, Sep 3, 2019 and 1 more (4 updates tracked since 2019).

About Li Medical Group Pllc NPPES

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

LI MEDICAL GROUP PLLC (NPI 1144878414) is a healthcare organization registered as an internal medicine in New Hyde Park, New York and active in the NPI registry since August 2019. The organization lists Luke Walton, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1144878414
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLI MEDICAL GROUP PLLC
Location Address2090 JERICHO TPKENew Hyde Park, NY 11040-4719
Mailing Address2090 Jericho TpkeNew Hyde Park, NY 11040-4719
Phone(516) 352-7828
Organization SubpartNo
Authorized OfficialLuke WaltonEnrollment Manager · (951) 900-3156
Enumeration DateAugust 29, 2019
Last NPPES UpdateJune 10, 20204 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
✔ NPI 1144878414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
2090 JERICHO TPKE, New Hyde Park, NY 11040
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Other Identifiers 1

Medicaid01439550NY

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Li Medical Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Li Medical Group PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Indravadan Dave, MD
General Practice
NPI 1497799944
2090 JERICHO TPKE
New Hyde Park, NY 11040
(513) 352-7828
✔ PECOSSame address
Vibhu Narang
Emergency Medicine
NPI 1356471643
270-05 76TH AVENUE LIJMC DEPT OF EMERGENCY MEDICINE
New Hyde Park, NY 11040
(718) 470-7501
✔ PECOS✔ Accepts Medicare2.2 mi
Valsa John, N.P.
Nurse Practitioner
NPI 1700955481
8742 169TH ST
Jamaica, NY 11432
(718) 206-2222
✔ PECOS✔ Accepts Medicare6.6 mi
Jonathan Aronbayev, M.D
Internal Medicine
NPI 1750318721
14353 HOOVER AVE
Briarwood, NY 11435
(718) 657-2260
✔ PECOS✔ Accepts Medicare7.6 mi
Boris Byalik, D.O.
Geriatric Medicine
NPI 1346450897
51-15 BEACH CHANNEL DRIVE
Far Rockaway, NY 11691
(718) 734-2000
✔ PECOS✔ Accepts Medicare11 mi
Michael Tang, M.D.-PH.D.
Emergency Medicine
NPI 1780874461
2900 OCEAN AVE APT. #2C
Brooklyn, NY 11235
(718) 629-8129
✔ PECOS✔ Accepts Medicare18 mi
Steven Winograd, MD
Emergency Medicine
NPI 1811972870
4 HARRIMAN DR
Goshen, NY 10924
(845) 294-5441
✔ PECOS✔ Accepts Medicare57 mi
Magdalena Morkis-Madaj
Family Practice
NPI 1700140928
400 HIGHLAND AVE
Lewistown, PA 17044
(717) 248-5411
✔ PECOS✔ Accepts Medicare205 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Li Medical Group PLLC's NPI number?

The NPI number for Li Medical Group PLLC is 1144878414. It was assigned to this organization in the NPPES registry on August 29, 2019.

Where is Li Medical Group PLLC located?

Li Medical Group PLLC is located at 2090 Jericho Tpke, New Hyde Park, NY 11040. The listed phone number is (516) 352-7828.

What is Li Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Li Medical Group PLLC enrolled in Medicare?

Yes. Li Medical Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Li Medical Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 6 Medicare specialties reassign their Medicare billing to Li Medical Group PLLC. 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. The largest specialties are Emergency Medicine (3), Family Practice (1) and General Practice (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Li Medical Group PLLC was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.