RACHEL LI M.D.
NPI 1285021774
Medical Genetics - Clinical Genetics (M.D.) in Sioux Falls, SD
About Rachel Li M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHEL LI M.D. (NPI 1285021774) is an individual clinical genetics (m.d.) provider in Sioux Falls, South Dakota, licensed in Virginia (0101265122) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Accepted 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
Rachel 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.
Medicare Billing Reassignments
2Medicare enrollment records show Rachel Li reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 826 clinicians in this Medicare group
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 1,097 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.
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.
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.
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
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 Rachel Li's NPI number?
The NPI number for Rachel Li is 1285021774. It was assigned to this individual provider in the NPPES registry on April 22, 2015. The provider is also known as Rachel Le Bailly-Hess MD.
Where is Rachel Li located?
Rachel Li practices at 1600 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 312-1000.
What is Rachel Li's specialty?
The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.
Is Rachel Li enrolled in Medicare?
Yes. Rachel 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 Rachel Li's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Li reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). 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 Rachel Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachel Li accept?
Health plans from Oscar Insurance Company, Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Rachel 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 Rachel Li was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Rachel Li, M.D. · NPI 1285021774
Clinical Genetics (M.D.) physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since April 22, 2015.
## Identity
- **NPI:** 1285021774 (Entity type: Individual)
- **Enumerated:** April 22, 2015
- **Primary specialty:** Medical Genetics - Clinical Genetics (M.D.) · taxonomy 207SG0201X
- **State license:** 0101265122 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1600 W 22ND ST, Sioux Falls, SD 57105-1521
- **Phone:** (605) 312-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sanford Clinic (NPI 1881610889, Sioux Falls, SD); Sanford Medical Center (NPI 1093090342, Sioux Falls, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1285021774) · Data from the CMS NPPES public registry.