GAVIN LI
NPI 1497556252
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 19, 2025PECOS Enrolled
243 CHARLES ST, BOSTON, MA 02114(636) 675-1057 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gavin Li NPPES

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

GAVIN LI (NPI 1497556252) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497556252
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGAVIN LI
Location Address243 CHARLES STBoston, MA 02114-3002
Mailing Address243 Charles StBoston, MA 02114-3002
Sole ProprietorNo
Enumeration DateMarch 19, 2025
NPPES CertifiedMarch 19, 2025
NPI 1497556252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
243 CHARLES ST, Boston, MA 02114

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gavin Li 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.

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.

Audiologist
243 CHARLES ST, AUDIOLOGY DEPARTMENT
BOSTON, MA 02114
Student in an Organized Health Care Education/Training Program
243 CHARLES ST
BOSTON, MA 02114
Eyewear Supplier
243 CHARLES ST
BOSTON, MA 02114
Ophthalmology
243 CHARLES ST, 10TH FLOOR -- OPHTHALMIC PLASTIC SURGERY
BOSTON, MA 02114
Otolaryngology
243 CHARLES ST
BOSTON, MA 02114
Emergency Medicine
243 CHARLES ST
BOSTON, MA 02114
Social Worker (Clinical)
243 CHARLES ST
BOSTON, MA 02114
Anesthesiology
243 CHARLES ST
BOSTON, MA 02114

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 Gavin Li's NPI number?

The NPI number for Gavin Li is 1497556252. It was assigned to this individual provider in the NPPES registry on March 19, 2025.

Where is Gavin Li located?

Gavin Li practices at 243 Charles St, Boston, MA 02114. The listed phone number is (636) 675-1057.

What is Gavin Li's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gavin Li enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gavin Li was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.