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DR. MARY LILY LI M.D.
NPI 1417152901
Internal Medicine in Honolulu, HI

Active since June 15, 2007PECOS Enrolled
1121 NUUANU AVE STE 104, HONOLULU, HI 96817(808) 433-0472 Get Directions Write a Review

NPPES record last updated: May 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Lily Li M.d. NPPES

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

DR. MARY LILY LI M.D. (NPI 1417152901) is an individual internal medicine provider in Honolulu, Hawaii, licensed in Hawaii (14584) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417152901
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARY LILY LICredential: M.D.
Location Address1121 NUUANU AVE STE 104Honolulu, HI 96817-5116
Mailing Address1121 Nuuanu Ave Ste 104Honolulu, HI 96817-5116 · (808) 433-0472
Phone(808) 433-0472
Sole ProprietorYes
Enumeration DateJune 15, 2007
Last NPPES UpdateMay 15, 2014
✔ NPI 1417152901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in HI · 14584
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.
1121 NUUANU AVE STE 104, Honolulu, HI 96817
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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 (PECOS)

Dr. Mary Lily Li M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96817 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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.

MARY LI LLC
Clinic/Center (Primary Care)
1121 NUUANU AVE STE 104
HONOLULU, HI 96817
Honolulu County (808) 537-1133

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 Mary Lily Li's NPI number?

The NPI number for Mary Lily Li is 1417152901. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Mary Lily Li located?

Mary Lily Li practices at 1121 Nuuanu Ave Ste 104, Honolulu, HI 96817. The listed phone number is (808) 433-0472.

What is Mary Lily Li's specialty?

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

Is Mary Lily Li enrolled in Medicare?

Yes. Mary Lily Li is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Lily Li was last updated on May 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.