LI HE MD
NPI 1164169983
Pathology - Anatomic Pathology & Clinical Pathology in Madison, WI

Active since May 13, 2022PECOS Enrolled
600 HIGHLAND AVE, MADISON, WI 53792(608) 263-8443 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2026, May 13, 2022 (2 updates tracked since 2022).

About Li He Md NPPES

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

LI HE MD (NPI 1164169983) is an individual anatomic pathology & clinical pathology provider in Madison, Wisconsin, licensed in Wisconsin (87126) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oklahoma City, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1164169983
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameLI HECredential: MD
Location Address600 HIGHLAND AVEMadison, WI 53792-0001
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 13, 2022
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1164169983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in WI · 87126✔ Licensed in OK · 39512
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
600 HIGHLAND AVE, Madison, WI 53792

Secondary Practice Location 1

Location 1940 Stanton L Young BlvdOklahoma City, OK 73104-5020 · Phone (405) 271-2451

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2961974779
PECOS Enrollment IDI20260612000952
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 Reassignment

Medicare enrollment records show Li He reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792

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 He's NPI number?

The NPI number for Li He is 1164169983. It was assigned to this individual provider in the NPPES registry on May 13, 2022.

Where is Li He located?

Li He practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-8443.

What is Li He's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Li He enrolled in Medicare?

Yes. Li He is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Li He's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Li He reassigns Medicare benefits to University Of Wisconsin Medical Foundation, Inc (Middleton, WI). The 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 Li He's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Li He accept?

Health plans from Group Health Cooperative-SCW list Li He 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 Li He was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.