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DR. SIMON LI MD
NPI 1265751002
Family Medicine - Adult Medicine in Brooklyn, NY

Active since May 19, 2010PECOS EnrolledAccepts Medicare AssignmentCLIA 33D2151504 · Waiver
8510 19TH AVE, BROOKLYN, NY 11214(347) 562-3285(718) 232-8808 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Simon Li Md NPPES

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

DR. SIMON LI MD (NPI 1265751002) is an individual adult medicine provider in Brooklyn, New York, licensed in New York (273720) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 19, 2028, and is a graduate of State University Of New York Downstate Medical Center (2014).

NPPES Registry Identity

NPI1265751002
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. SIMON LICredential: MD
Location Address8510 19TH AVEBrooklyn, NY 11214
Mailing Address8510 19th AveBrooklyn, NY 11214 · (347) 562-3285 · Fax (718) 232-8808
Phone(347) 562-3285
Fax(718) 232-8808
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2014
Enumeration DateMay 19, 2010
Last NPPES UpdateAugust 30, 2018
✔ NPI 1265751002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in NY · 273720
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
8510 19TH AVE, Brooklyn, NY 11214
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Simon 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 ID6901127596
PECOS Enrollment IDI20150608002467
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2151504

Simon Li Medical PLLC · Brooklyn, NY
Active · expires Jul 19, 2028
CLIA Number33D2151504
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorDr. Li Simon
Laboratory Phone(347) 562-3285
Laboratory LocationSimon Li Medical PLLC8510 19th Avenue, Brooklyn, NY 11214
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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 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.
437 services62 patients
Insertion of needle into vein (3 years or older) 36410
This procedure involves placing a small needle into a vein, typically in the arm. It's done to collect blood for testing or to deliver medication. You may feel a quick pinch, but it's usually over in seconds. It's a common, safe procedure.
42 services28 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services35 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.
32 services32 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
32 services32 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11214 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

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

SIMON LI MEDICAL PLLC
Clinic/Center (Primary Care)
8510 19TH AVE
BROOKLYN, NY 11214
Kings County (347) 562-3285

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 Simon Li's NPI number?

The NPI number for Simon Li is 1265751002. It was assigned to this individual provider in the NPPES registry on May 19, 2010.

Where is Simon Li located?

Simon Li practices at 8510 19th Ave, Brooklyn, NY 11214. The listed phone number is (347) 562-3285.

What is Simon Li's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Simon Li enrolled in Medicare?

Yes. Simon 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.

Does Simon Li hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2151504) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Simon Li was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.