CONRAD LI INTERNAL MEDICINE PC
NPI 1205503554
Internal Medicine in Flushing, NY

Active since August 25, 2021
13620 MAPLE AVE # C702, FLUSHING, NY 11355(347) 368-4288(347) 368-4785 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2025, Dec 27, 2021, Aug 25, 2021 (3 updates tracked since 2021).

About Conrad Li Internal Medicine Pc NPPES

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

CONRAD LI INTERNAL MEDICINE PC (NPI 1205503554) is a healthcare organization registered as an internal medicine in Flushing, New York and active in the NPI registry since August 2021. The organization maintains a secondary practice location in Flushing and lists Conrad Li, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205503554
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONRAD LI INTERNAL MEDICINE PC
Location Address13620 MAPLE AVE # C702Flushing, NY 11355-5166
Mailing Address13620 Maple Ave # C702Flushing, NY 11355-5166 · (347) 368-4288 · Fax (347) 368-4785
Fax(347) 368-4785
Organization SubpartNo
Authorized OfficialConrad LiCeo · (347) 368-4288
Enumeration DateAugust 25, 2021
Last NPPES UpdateJune 6, 20253 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1205503554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
13620 MAPLE AVE # C702, Flushing, NY 11355

Secondary Practice Location 1

Location 113348 37th Ave Apt 2Flushing, NY 11354-4460 · Phone (347) 368-4288 · Fax (347) 368-4785

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Conrad Li Internal Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Conrad Li Internal Medicine PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1013271741
13620 MAPLE AVE # C702
Flushing, NY 11355
(347) 368-4288
✔ PECOS✔ Accepts MedicareSame address

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 Conrad Li Internal Medicine PC's NPI number?

The NPI number for Conrad Li Internal Medicine PC is 1205503554. It was assigned to this organization in the NPPES registry on August 25, 2021.

Where is Conrad Li Internal Medicine PC located?

Conrad Li Internal Medicine PC is located at 13620 Maple Ave # C702, Flushing, NY 11355. The listed phone number is (347) 368-4288.

What is Conrad Li Internal Medicine PC's specialty?

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

Is Conrad Li Internal Medicine PC enrolled in Medicare?

Yes. Conrad Li Internal Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Conrad Li Internal Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Conrad Li Internal Medicine PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Conrad Li Internal Medicine PC was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.