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XIAOHUAN LI M.D.
NPI 1225425333
Internal Medicine in Apex, NC

Active since April 16, 2015PECOS EnrolledAccepts Medicare Assignment
1011 PEMBERTON HILL RD STE 101, APEX, NC 27502(984) 600-3160(704) 705-2409 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2026, Apr 17, 2022, Jul 12, 2018 (3 updates tracked since 2018).

About Xiaohuan Li M.d. NPPES

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

XIAOHUAN LI M.D. (NPI 1225425333) is an individual internal medicine provider in Apex, North Carolina, licensed in North Carolina (2018-01804) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1225425333
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameXIAOHUAN LICredential: M.D.
Location Address1011 PEMBERTON HILL RD STE 101Apex, NC 27502-4266
Mailing Address1011 Pemberton Hill Rd Ste 101Apex, NC 27502-4266 · (984) 600-3160 · Fax (704) 705-2409
Phone(984) 600-3160
Fax(704) 705-2409
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 16, 2015
Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1225425333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2018-01804
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1011 PEMBERTON HILL RD STE 101, Apex, NC 27502
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Xiaohuan Li M.d. 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 ID2466700455
PECOS Enrollment IDI20180808000596
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

3

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

Careone Medical Group - Primary Care, PLLC
Same address
Internal Medicine
1011 PEMBERTON HILL RD STE 101
Apex, NC 27502
  • Reassigned Medicare billing, North Carolina enrollment
  • 3 clinicians in this Medicare group
NPI 1316896970 (612) 224-4459
Advance Community Health, Inc
1.6 mi
Federally Qualified Health Center (FQHC)
400 S WEST ST
Raleigh, NC 27601
  • Reassigned Medicare billing, North Carolina enrollment
  • 92 clinicians in this Medicare group
NPI 1285186080 (919) 833-3111
Avance Care, PA
12 mi
Clinic/Center
400 ATTAIN ST STE 202
Fuquay Varina, NC 27526
  • Reassigned Medicare billing, North Carolina enrollment
  • 217 clinicians in this Medicare group
NPI 1487845020 (919) 655-1000

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
125 services66 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
37 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services23 patients
Urine microalbumin (protein) analysis 82044
Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
18 services18 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27502 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers34 claims71 services$4.98 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers23 claims26 services$0.90 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

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

CAREONE MEDICAL GROUP - PRIMARY CARE, PLLC
Internal Medicine
1011 PEMBERTON HILL RD STE 101
APEX, NC 27502
Wake County (612) 224-4459

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 Xiaohuan Li's NPI number?

The NPI number for Xiaohuan Li is 1225425333. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Where is Xiaohuan Li located?

Xiaohuan Li practices at 1011 Pemberton Hill Rd Ste 101, Apex, NC 27502. The listed phone number is (984) 600-3160.

What is Xiaohuan Li's specialty?

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

Is Xiaohuan Li enrolled in Medicare?

Yes. Xiaohuan 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 Xiaohuan Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Xiaohuan Li reassigns Medicare benefits to 3 organizations: Careone Medical Group - Primary Care, PLLC (Apex, NC), Advance Community Health, Inc (Raleigh, NC) and Avance Care, PA (Fuquay Varina, NC). 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 Xiaohuan Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Xiaohuan Li accept?

Health plans from Blue Cross and Blue Shield of NC list Xiaohuan 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 Xiaohuan Li was last updated on July 6, 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.