MENGLU LI MD
NPI 1962864819
Pediatrics in San Jose, CA
About Menglu Li Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MENGLU LI MD (NPI 1962864819) is an individual pediatrics provider in San Jose, California, licensed in California (A154438) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oakland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Menglu Li Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Menglu Li reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palo Alto, CA 94301
- Reassigned Medicare billing, California enrollment
- 4,479 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95129 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Menglu Li's NPI number?
The NPI number for Menglu Li is 1962864819. It was assigned to this individual provider in the NPPES registry on March 22, 2016.
Where is Menglu Li located?
Menglu Li practices at 7225 Rainbow Dr, San Jose, CA 95129. The listed phone number is (510) 456-5185.
What is Menglu Li's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Menglu Li enrolled in Medicare?
Yes. Menglu Li is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Menglu Li's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Menglu Li reassigns Medicare benefits to Sutter Bay Medical Foundation (Palo Alto, CA). 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 Menglu 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 Menglu Li was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Menglu Li, MD · NPI 1962864819
Pediatrics physician in San Jose, California. Individual provider, active in the CMS NPPES registry since March 22, 2016.
## Identity
- **NPI:** 1962864819 (Entity type: Individual)
- **Enumerated:** March 22, 2016
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A154438 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 7225 RAINBOW DR, San Jose, CA 95129
- **Phone:** (510) 456-5185
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sutter Bay Medical Foundation (NPI 1013950807, Palo Alto, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1962864819) · Data from the CMS NPPES public registry.