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ANITA LI MD
NPI 1669931481
Family Medicine in Mishawaka, IN

Active since March 19, 2019PECOS Enrolled
611 E DOUGLAS RD STE 407, MISHAWAKA, IN 46545(857) 249-1747 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2022, May 17, 2022, Dec 18, 2019 and 1 more (4 updates tracked since 2019).

About Anita Li Md NPPES

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

ANITA LI MD (NPI 1669931481) is an individual family medicine provider in Mishawaka, Indiana, licensed in New Hampshire (09LIA92161) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669931481
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANITA LICredential: MD
Location Address611 E DOUGLAS RD STE 407Mishawaka, IN 46545-1468
Mailing Address15870 N Lakeshore DrGranger, IN 46530-7846
Phone(857) 249-1747
Sole ProprietorNo
Enumeration DateMarch 19, 2019
Last NPPES UpdateJuly 11, 20224 updates tracked since enumeration
NPPES CertifiedJuly 11, 2022
✔ NPI 1669931481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NH · 09LIA92161✔ Licensed in IN · 01087618A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
611 E DOUGLAS RD STE 407, Mishawaka, IN 46545
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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)

Anita Li Md 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 46545 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALLYSON BRIANNE BRUNET SLUSSER DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
MIRANDA MACFARLANE PHARMD
Pharmacist
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-5000
PETER CARL CHRISTIAN BECK MD
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
JOSEPH ALAN STOLDT PHARMD
Pharmacist (Pharmacotherapy)
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
ANNIE WU DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
AMELLE CHRISTINE ALDURRA DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
MIA LAMBERT MD
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
THOMAS WAITES DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500

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 Anita Li's NPI number?

The NPI number for Anita Li is 1669931481. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Anita Li located?

Anita Li practices at 611 E Douglas Rd Ste 407, Mishawaka, IN 46545. The listed phone number is (857) 249-1747.

What is Anita Li's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anita Li enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Anita Li was last updated on July 11, 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.