DR. CHARLES S LI M.D. NPI 1689789380

NPI Information

  • NPI: 1689789380
  • Provider Name: DR. CHARLES S LI, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7647 W GULF TO LAKE HWY
    SUITE 6
    CRYSTAL RIVER, FL
    ZIP 34429
  • Phone: (352) 795-1718

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NPI Details

DR. Charles S Li, M.D. is a general practice in Crystal River, FL. The provider is 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 DR. Charles S Li, M.D. NPI is 1689789380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7647 W GULF TO LAKE HWY
SUITE 6
CRYSTAL RIVER, FL
ZIP 34429-962
Phone: (352) 795-1718
Fax: (352) 795-7898

The NPI 1689789380 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 12/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeME0029731FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D54781MEDICARE UPINFLORIDA
242122ZMEDICARE PINFLORIDA
3660075100MEDICAIDFLORIDA
442122OTHERFLORIDABCBSFL
5035298500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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