MICHAEL LI MD
NPI 1154435006
Internal Medicine in Winchester, VA

Q: What is Michael Li's NPI number?

The NPI number for Michael Li is 1154435006. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Q: What is Michael Li's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Li was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 August 18, 2006PECOS EnrolledAccepts Medicare Assignment

2055 VALLEY AVE, WINCHESTER, VA 22601(540) 504-7194 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2026, Dec 12, 2023, Apr 25, 2018 (3 updates tracked since 2018).

On this page

About Michael Li Md NPPES

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

MICHAEL LI MD (NPI 1154435006) is an individual internal medicine provider in Winchester, Virginia, licensed in Virginia (0101247739) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1154435006

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMICHAEL LICredential: MD

Location Address2055 VALLEY AVEWinchester, VA 22601-2751

Mailing Address511 Stonymeade DrWinchester, VA 22602-6673 · (540) 678-3588 · Fax (540) 678-9025

Phone(540) 504-7194

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateAugust 18, 2006

Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration

NPPES CertifiedAugust 19, 2026

✔ NPI 1154435006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in VA · 0101247739✔ Licensed in WV · 25245✔ Licensed in NC · 2006-01239

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.

2055 VALLEY AVE, Winchester, VA 22601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Li Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416053921

PECOS Enrollment IDI20101227000671

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.

Medicare Billing Reassignments

Medicare enrollment records show Michael Li reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Honest Medical Solutions, LLC

Same address

Internal Medicine

2055 VALLEY AVE
Winchester, VA 22601

Reassigned Medicare billing, Virginia enrollment

NPI 1548652506 (540) 535-8636

Shenandoah Valley Medical System, Inc.

1.8 mi

Federally Qualified Health Center (FQHC)

1330 AMHERST ST
Winchester, VA 22601

Reassigned Medicare billing, Virginia enrollment
14 clinicians in this Medicare group

NPI 1023217452 (304) 263-4999

Hospitalist Medicine Physicians Of Virginia LLC

2.1 mi

Internal Medicine

1840 AMHERST ST
Winchester, VA 22601

Reassigned Medicare billing, Virginia enrollment
371 clinicians in this Medicare group

NPI 1770756991 (540) 536-4334

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level, by device for home use 83037

A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.

69 services54 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

33 services30 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

98%352 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier15 claims15 services$20.76 avg. paid by Medicare

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$4.76 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier15 claims15 services$8.31 avg. paid by Medicare

Adhesive, liquid or equal, any type, per oz A4364

DME-Medical/Surgical Supplies · category DA000N

1 supplier13 claims52 services$2.84 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

1 supplier13 claims260 services$4.92 avg. paid by Medicare

Ostomy skin barrier, pectin-based, paste, per ounce A4406

DME-Orthotic Devices · category DF010N

1 supplier13 claims52 services$5.53 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANTA DALESSIO MD

Internal Medicine (Pulmonary Disease)

2055 VALLEY AVE
WINCHESTER, VA 22601

Winchester City (540) 771-3032

HONEST MEDICAL SOLUTIONS, LLC

Internal Medicine

2055 VALLEY AVE
WINCHESTER, VA 22601

Winchester City (540) 535-8636

SANTA D'ALESSIO MD PC

Specialist

2055 VALLEY AVE
WINCHESTER, VA 22601

Winchester City (540) 667-7200

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 Michael Li's NPI number?

The NPI number for Michael Li is 1154435006. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Michael Li located?

Michael Li practices at 2055 Valley Ave, Winchester, VA 22601. The listed phone number is (540) 504-7194.

What is Michael Li's specialty?

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

Is Michael Li enrolled in Medicare?

Yes. Michael Li is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Li reassigns Medicare benefits to 3 organizations: Honest Medical Solutions, LLC (Winchester, VA), Shenandoah Valley Medical System, Inc. (Winchester, VA) and Hospitalist Medicine Physicians Of Virginia LLC (Winchester, VA). Each 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 Michael Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Li accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Michael Li 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 Michael Li was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.