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DR. JUDY LI D.O.
NPI 1366601965
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Renton, WA

Active since June 09, 2008PECOS Enrolled
4033 TALBOT RD S STE 230, RENTON, WA 98055(425) 690-3585(425) 690-9585 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Judy Li D.o. NPPES

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

DR. JUDY LI D.O. (NPI 1366601965) is an individual neurology with special qualifications in child neurology provider in Renton, Washington, licensed in Washington (OP60459577) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366601965
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameDR. JUDY LICredential: D.O.
Location Address4033 TALBOT RD S STE 230Renton, WA 98055-5700
Mailing Address4033 Talbot Rd S Ste 230Renton, WA 98055-5700 · (425) 690-3585 · Fax (425) 690-9585
Phone(425) 690-3585
Fax(425) 690-9585
Sole ProprietorNo
Enumeration DateJune 9, 2008
Last NPPES UpdateJune 22, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1366601965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in WA · OP60459577
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License OP60459577 (WA)
4033 TALBOT RD S STE 230, Renton, WA 98055
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Judy Li D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Valley Medical Group-Renton
0.1 mi
General Acute Care Hospital
400 S 43RD ST
Renton, WA 98055
  • Reassigned Medicare billing, Washington enrollment
  • 689 clinicians in this Medicare group
NPI 1619209574 (425) 228-3440
Association Of Chmc And University Physicians
12 mi
Orthopaedic Trauma
325 9TH AVE
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: The Association Of Chrmc And University Physicians
  • 1,443 clinicians in this Medicare group
NPI 1215153671 (206) 731-3000
The Association Of University Physicians
12 mi
Anesthesiology
701 5TH AVE, SUITE 700
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 4,364 clinicians in this Medicare group
NPI 1023041159 (206) 543-6420

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98055 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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 Judy Li's NPI number?

The NPI number for Judy Li is 1366601965. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Judy Li located?

Judy Li practices at 4033 Talbot Rd S Ste 230, Renton, WA 98055. The listed phone number is (425) 690-3585.

What is Judy Li's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Judy Li enrolled in Medicare?

Yes. Judy Li is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Judy Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judy Li reassigns Medicare benefits to 3 organizations: Valley Medical Group-Renton (Renton, WA), Association Of Chmc And University Physicians (Seattle, WA) and The Association Of University Physicians (Seattle, WA). 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 Judy Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Judy Li accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Judy 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 Judy Li was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.