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RACHEL LI M.D.
NPI 1285021774
Medical Genetics - Clinical Genetics (M.D.) in Sioux Falls, SD

Active since April 22, 2015PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1600 W 22ND ST, SIOUX FALLS, SD 57105(605) 312-1000 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2022, Jan 25, 2022, Dec 1, 2020 and 1 more (4 updates tracked since 2020).

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, is affiliated with Sanford Usd Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285021774
Entity TypeIndividualFemale
Primary Taxonomy207SG0201X
Provider Legal NameRACHEL LICredential: M.D.
Location Address1600 W 22ND STSioux Falls, SD 57105-1521
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 312-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 22, 2015
Last NPPES UpdateJuly 13, 20224 updates tracked since enumeration
NPPES CertifiedJuly 13, 2022
✔ NPI 1285021774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in VA · 0101265122
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedPediatricsTaxonomy 208000000X · License 12879 (SD)
1600 W 22ND ST, Sioux Falls, SD 57105
Open in Google Maps ↗

Other Names 1

Former Name (1)Rachel Le Bailly-hess Md

Secondary Practice Locations 2

Location 11250 E Marshall St, 980264Richmond, VA 23298-5051 · Phone (804) 828-9955 · Fax (804) 828-5775
Location 2208 Scottsdale DrAdvance, NC 27006-6959 · Phone (717) 380-1982

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, Sanford Health Plan.Insurance ›

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

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.

PECOS PAC ID1052624665
PECOS Enrollment IDI20220118000674
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

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.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

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.

JANELLE VANDE GRIEND APRN-CPNP
Nurse Practitioner
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
KAILEN K KRAUSE
Registered Nurse (Pediatrics)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
KAYELYN J. WAGNER M.D.
Pediatrics (Pediatric Hematology-Oncology)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
SYED HARIS ZAMIR KAZMI MD
Pediatrics
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
MRS. MORGAN DOLORES COLLINS RN, CDCES
Registered Nurse (Diabetes Educator)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
CHARLES A BROBERG DC, PA,
Physician Assistant
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
DR. VISHNU KANALA M.B.B.S.
Hospitalist
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
HEATHER A. JOHNSON CNP
Nurse Practitioner
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000

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.

What insurance does Rachel Li accept?

Health plans from Medica, Oscar Insurance Company and Sanford Health Plan 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.

Is Rachel Li affiliated with any hospitals?

According to CMS data, Rachel Li is affiliated with Sanford Usd Medical Center.

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.