DR. CHARLES S LI M.D.
NPI 1689789380
General Practice in Crystal River, FL

Active since August 20, 2006PECOS Enrolled
7647 W GULF TO LAKE HWY, SUITE 6, CRYSTAL RIVER, FL 34429(352) 795-1718(352) 795-7898 Get Directions Write a Review

NPPES record last updated: December 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Charles S Li M.d. NPPES

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

DR. CHARLES S LI M.D. (NPI 1689789380) is an individual general practice provider in Crystal River, Florida, licensed in Florida (ME0029731) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689789380
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. CHARLES S LICredential: M.D.
Location Address7647 W GULF TO LAKE HWY, SUITE 6Crystal River, FL 34429-7962
Mailing Address7647 W Gulf To Lake Hwy, Suite 6Crystal River, FL 34429-7962 · (352) 795-1718 · Fax (352) 795-7898
Fax(352) 795-7898
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateDecember 29, 2014
NPI 1689789380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · ME0029731
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
7647 W GULF TO LAKE HWY, Crystal River, FL 34429

Other Names 1

Former Name (1)Dr. Cheng Shiumn Li M.d.

Other Identifiers 5

Medicare UPIND54781FL
Medicare PIN42122ZFL
Medicaid660075100FL
Other42122FL · Bcbsfl
Medicaid035298500FL

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. Charles S 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.

Other Providers at the Same Location NPPES 9

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

In Home Supportive Care
7647 W GULF TO LAKE HWY, SUITE 1
CRYSTAL RIVER, FL 34429
Speech-Language Pathologist
7647 W GULF TO LAKE HWY, SUITE 4
CRYSTAL RIVER, FL 34429
Speech-Language Pathologist
7647 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429
Clinic/Center (Rural Health)
7647 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429
Speech-Language Pathologist
7647 W GULF TO LAKE HWY, SUITE 4
CRYSTAL RIVER, FL 34429
Home Health
7647 W GULF TO LAKE HWY, STE 1
CRYSTAL RIVER, FL 34429
Clinic/Center (Rural Health)
7647 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429
Speech-Language Pathologist
7647 W GULF TO LAKE HWY, SUITE 4
CRYSTAL RIVER, FL 34429

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 Charles Li's NPI number?

The NPI number for Charles Li is 1689789380. It was assigned to this individual provider in the NPPES registry on August 20, 2006. The provider is also known as Dr. Cheng Shiumn Li M.D..

Where is Charles Li located?

Charles Li practices at 7647 W Gulf To Lake Hwy Suite 6, Crystal River, FL 34429. The listed phone number is (352) 795-1718.

What is Charles Li's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Charles Li enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charles Li was last updated on December 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.