KAILYN LI
NPI 1699354852
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 05, 2021PECOS Enrolled
1275 YORK AVE, NEW YORK, NY 10065(212) 639-3210 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2026, Apr 5, 2021 (2 updates tracked since 2021).

About Kailyn Li NPPES

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

KAILYN LI (NPI 1699354852) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699354852
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAILYN LI
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address1275 York AveNew York, NY 10065-6007
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 5, 2021
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1699354852 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.
1275 YORK AVE, New York, NY 10065

Other Names 1

Former Name (1)Ruohan Li

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kailyn Li is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688138068
PECOS Enrollment IDI20260716001113
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 Reassignment

Medicare enrollment records show Kailyn Li reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 302 clinicians in this Medicare group

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

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.

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

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 Kailyn Li's NPI number?

The NPI number for Kailyn Li is 1699354852. It was assigned to this individual provider in the NPPES registry on April 5, 2021. The provider is also known as Ruohan Li.

Where is Kailyn Li located?

Kailyn Li practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-3210.

What is Kailyn 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 Kailyn Li enrolled in Medicare?

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

Which organization bills Medicare for Kailyn Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kailyn Li reassigns Medicare benefits to Mskcc Radiology Group (New York, NY). The 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 Kailyn Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kailyn Li was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.