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JUSTIN LI DO
NPI 1689289977
Hospitalist in Olympia Fields, IL

Active since September 13, 2020PECOS EnrolledAccepts Medicare Assignment
3700 W 203RD ST STE 301, OLYMPIA FIELDS, IL 60461(708) 679-2850(708) 503-3816 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 23, 2026, Feb 10, 2025, Jul 11, 2024 and 6 more (9 updates tracked since 2020).

About Justin Li Do NPPES

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

JUSTIN LI DO (NPI 1689289977) is an individual hospitalist provider in Olympia Fields, Illinois, licensed in Illinois (036166721) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1689289977
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJUSTIN LICredential: DO
Location Address3700 W 203RD ST STE 301Olympia Fields, IL 60461-1182
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Phone(708) 679-2850
Fax(708) 503-3816
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2020
Enumeration DateSeptember 13, 2020
Last NPPES UpdateJuly 23, 20269 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1689289977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036166721
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036166721 (IL)
3700 W 203RD ST STE 301, Olympia Fields, IL 60461
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Secondary Practice Location 1

Location 1820 S Wood St # Mc675Chicago, IL 60612-4325 · Phone (312) 996-2933

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Li Do 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 ID547667495
PECOS Enrollment IDI20240525000330
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 Justin Li reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialty Physicians Of Illinois, LLC
4.8 mi
Urgent Care
20180 S LAGRANGE RD
Frankfort, IL 60423
  • Reassigned Medicare billing, Illinois enrollment
  • 148 clinicians in this Medicare group
NPI 1962024612 (815) 464-2010
Prime Healthcare Illinois Medical Group LLC
37 mi
Multi-Specialty
2380 E DEMPSTER ST
Des Plaines, IL 60016
  • Reassigned Medicare billing, Illinois enrollment
  • 443 clinicians in this Medicare group
NPI 1023837689 (833) 291-0464
Endeavor Health Medical Group
38 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Franciscan Health Olympia & Chicago Heights

Acute Care Hospitals · Olympia Fields, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140172
Location20201 S Crawford AvenueOlympia Fields, IL 60461 · Cook County
Emergency services Birthing friendly

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150090
Location24 Joliet StDyer, IN 46311 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60461 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$39.13 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$29.76 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$7.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

ANTHONY MICHAEL GASBARRO FNP-C
Nurse Practitioner (Family)
3700 W 203RD ST STE 301
OLYMPIA FIELDS, IL 60461
Cook County (708) 679-2850
CAROLINE KIM DO
Family Medicine
3700 W 203RD ST STE 301
OLYMPIA FIELDS, IL 60461
Cook County (708) 679-2850
MS. SYDNEY MARIE LAFRENIER PA-C
Physician Assistant
3700 W 203RD ST STE 301
OLYMPIA FIELDS, IL 60461
Cook County (708) 679-2850
MARIE MICHELE BAIRD D.O.
Family Medicine
3700 W 203RD ST STE 301
OLYMPIA FIELDS, IL 60461
Cook County (708) 679-2850

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 Justin Li's NPI number?

The NPI number for Justin Li is 1689289977. It was assigned to this individual provider in the NPPES registry on September 13, 2020.

Where is Justin Li located?

Justin Li practices at 3700 W 203rd St Ste 301, Olympia Fields, IL 60461. The listed phone number is (708) 679-2850.

What is Justin Li's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Justin Li enrolled in Medicare?

Yes. Justin 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.

Which organizations bill Medicare for Justin Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Li reassigns Medicare benefits to 3 organizations: Specialty Physicians Of Illinois, LLC (Frankfort, IL), Prime Healthcare Illinois Medical Group LLC (Des Plaines, IL) and Endeavor Health Medical Group (Evanston, IL). 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 Justin Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Justin Li affiliated with any hospitals?

According to CMS data, Justin Li is affiliated with Northshore University Healthsystem - Evanston Hospital, Franciscan Health Olympia & Chicago Heights and Franciscan Health Dyer.

When was this NPI record last updated?

The NPPES record for Justin Li was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.