SHIPEN LI M.D.
NPI 1811947997
Internal Medicine - Nephrology in Leominster, MA

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
50 MEMORIAL DR, LEOMINSTER, MA 01453(978) 466-4535 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shipen Li M.d. NPPES

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

SHIPEN LI M.D. (NPI 1811947997) is an individual nephrology provider in Leominster, Massachusetts, licensed in Massachusetts (60111) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811947997
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSHIPEN LICredential: M.D.
Location Address50 MEMORIAL DRLeominster, MA 01453-2238
Mailing AddressPo Box 415348Boston, MA 02241-5348
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1987
Enumeration DateMay 11, 2006
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
NPI 1811947997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MA · 60111
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 60111 (MA)
50 MEMORIAL DR, Leominster, MA 01453

Secondary Practice Locations 2

Location 1201 Highland StClinton, MA 01510-1037 · Phone (978) 368-3761
Location 260 Hospital RdLeominster, MA 01453-2205 · Phone (978) 534-1980

Other Identifiers 1

Medicaid110048887AMA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shipen Li M.d. 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 ID9931141637
PECOS Enrollment IDI20050524000085
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.

Areas of Expertise CMS Part B claims 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
347 services128 patients
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.
302 services160 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
128 services106 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
125 services41 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
114 services14 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
29 services11 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01453 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims660 services$0.32 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 20

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

Internal Medicine
50 MEMORIAL DR, SUITE 210
LEOMINSTER, MA 01453
Family Medicine
50 MEMORIAL DR, SUITE 103
LEOMINSTER, MA 01453
Internal Medicine (Endocrinology, Diabetes & Metabolism)
50 MEMORIAL DR, SUITE 110
LEOMINSTER, MA 01453
Psychiatry & Neurology (Neurology)
50 MEMORIAL DR, SUITE 209
LEOMINSTER, MA 01453
Psychiatry & Neurology (Neurology)
50 MEMORIAL DR, SUITE 211
LEOMINSTER, MA 01453
Clinic/Center (Health Service)
50 MEMORIAL DR, SUITE 110
LEOMINSTER, MA 01453
Plastic Surgery (Plastic Surgery Within the Head and Neck)
50 MEMORIAL DR, SUITE 212
LEOMINSTER, MA 01453
Clinic/Center (Physical Therapy)
50 MEMORIAL DR, SUITE 211
LEOMINSTER, MA 01453

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 Shipen Li's NPI number?

The NPI number for Shipen Li is 1811947997. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Shipen Li located?

Shipen Li practices at 50 Memorial Dr, Leominster, MA 01453. The listed phone number is (978) 466-4535.

What is Shipen Li's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Shipen Li enrolled in Medicare?

Yes. Shipen 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.

What insurance does Shipen Li accept?

Health plans from Anthem Blue Cross and Blue Shield list Shipen Li as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shipen Li affiliated with any hospitals?

According to CMS data, Shipen Li is affiliated with Umass Memorial Healthalliance Hospitals.

When was this NPI record last updated?

The NPPES record for Shipen Li was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.