CARRIE JIAXIN LI M.D. - NPI 1952746307 - Obstetrics & Gynecology in San Jose, CA

Q: What is Carrie Li's NPI number?

The NPI number for Carrie Li is 1952746307. It was assigned to this individual provider in the NPPES registry on April 29, 2013.

Q: What is Carrie Li's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Carrie Li was last updated on December 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Carrie Jiaxin Li M.d. NPPES

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

CARRIE JIAXIN LI M.D. (NPI 1952746307) is an individual obstetrics & gynecology provider in San Jose, California, licensed in California (A132819) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1952746307

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameCARRIE JIAXIN LICredential: M.D.

Location Address2400 SAMARITAN DR STE 105San Jose, CA 95124-3910

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (408) 523-3870

Phone(408) 523-3870

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 29, 2013

Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration

NPPES CertifiedOctober 26, 2020

✔ NPI 1952746307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · A132819

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2400 SAMARITAN DR STE 105, San Jose, CA 95124

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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 and accepts Medicare assignment

Carrie Jiaxin 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 ID6608180773

PECOS Enrollment IDI20170907003169

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 95124 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

$156.67 typical visit price

range $70.37 – $206.04

Typical copayment $39.16 (range $17.59 – $51.51)

Most-billed visit code 99204

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

Most-billed visit code 99213

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 6

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

EMILY R CHAMBERLIN NP

Nurse Practitioner